| NPI | 1508712191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHRISTOPHER CRUMP CEO/Administrator 734-363-0683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2026-03-06 |
| Last Update Date | 2026-03-06 |