| NPI | 1306372396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LOUISE ADAMS Vice President 616-459-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS410261725) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |