| NPI | 1508189234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA HAMILTON Licensee/Owner 313-567-9153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820014630) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |