| NPI | 1407849656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GOODRICH Administrator 231-775-0101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 844020) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-02-20 |