| NPI | 1447346374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMAN WORTHY Home Provider 313-885-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820080485) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |