| NPI | 1285110767 |
|---|---|
| Former Legal Business Name | PERSONALIZED NURSING LIGHT HOUSE INC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PALIWODA CEO 810-231-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0821032) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-18 |