| NPI | 1396933388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE EZE OFFIONG Owner 248-423-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820286212) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |