| NPI | 1538604830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDREA SANDERS Licensee/Administrator 989-401-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AM730373246) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MI AM730373246) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |