| NPI | 1437469384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA LEE HENRY Administrator 231-263-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AM280620562) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |