| NPI | 1528934767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANA MUGURE KIPTARUS Onwer 517-348-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |