| NPI | 1467829028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LEE BUSHARD Owner/Administrator 231-893-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI A610073721) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |