| NPI | 1548232127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CORNISH Administrator 269-962-5458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 138520) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2023-05-11 |