| NPI | 1467766683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN LINDOW Program Manager 989-772-2957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |