NPI | 1487704805 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD SANGSTER CFO 810-534-0150 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 504050) |
Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: MI 504050) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2022-05-05 |