| NPI | 1497364442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL R BHATTAD Administrator 248-797-8519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |