NPI | 1306415849 |
---|---|
Other Name | GRATEFUL HEARTS |
Other Name | SISCO'S LEISURE LIVING |
Entity Type | Organization |
Authorized Contact | LINDA V POWELL Administrator 231-354-6564 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2021-06-19 |
Last Update Date | 2021-06-21 |