| NPI | 1437303104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI 3477-6190) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: MI 230011513890806) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2011-09-01 |