| NPI | 1447592746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVON MARITA RYAN Director 231-645-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI R500238585517) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |