| NPI | 1356661714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE S GUYTON Owner 313-505-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820288716) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |