| NPI | 1497180061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKETA DHAVAL PATEL Program Manager / Cota 734-306-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 5202006033) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |