| NPI | 1457141350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNICE STARR Member 231-830-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 282J00000X Religious Nonmedical Health Care Institution |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |