| NPI | 1346711546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELINA R WELLS Director 248-289-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |