| NPI | 1295627537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE SHARECCE GRAY Administrator 616-221-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |