| NPI | 1548049901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL JOHNSON Owner/Administrator 248-520-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |