| NPI | 1467511907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L REDDING Administrator 906-774-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 22-404) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |