| NPI | 1457761132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE NORTON Business Manager 517-883-5028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI AS330336343) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MI AS330316950) |
| 310400000X Assisted Living Facility (Licence: MI AS330336343) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2016-02-04 |