| NPI | 1548700545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JO ALEXANDER Sole Proprietor And Afc Provider 616-881-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AF410287362) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |