| NPI | 1285941971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYSTI ROCHOWIAK Administrator 810-220-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: MI AS470291101) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |