| NPI | 1366443228 |
|---|---|
| Doing Business As | MARYCREST MANOR |
| Entity Type | Organization |
| Authorized Contact | PAMELA SUE LATOVICK VP Reimbursement 734-343-6628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MI 824220) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-09-19 |