| NPI | 1326442617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORCHIA DURANT Owner 313-829-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS630347321) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |