| NPI | 1447526769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIA GROSS Administrator 810-691-1459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AL250255297) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS250278254) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |