| NPI | 1407936701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MIRON Executive Director 810-239-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS250010754) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |