| NPI | 1356028641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DERRYLE BARBER CEO/Owner 313-938-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |