| NPI | 1477029700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY NNAMDI EZEANYA President/Executive Director 313-340-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2018-10-14 |
| Last Update Date | 2018-10-14 |