| NPI | 1467992180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEONNIE T DEARMON Owner 616-248-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MI AS410382276) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |