| NPI | 1326124322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORVYN R HANSEN CEO/Administrator 231-932-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 288510) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-11-14 |