| NPI | 1366066201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE R WHITE Executive Director 734-762-8885 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 376G00000X Nursing Home Administrator |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2020-06-06 |