| NPI | 1346629599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBREECA BYRD Lpn 313-437-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MI 4703109404) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |