| NPI | 1437246642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DENISE ROBINSON Provider 313-475-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820262429) |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2020-08-22 |