| NPI | 1508305921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY B DEBOER Owner 616-818-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MI AF410379501) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |