| NPI | 1346615218 |
|---|---|
| Former Legal Business Name | GOODWILL INN |
| Entity Type | Organization |
| Authorized Contact | SAKURA RAFTERY Housing Director 231-995-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |