| NPI | 1487920021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA BELINDA YUMENA Licensee Designee 586-693-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS500306796) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |