| NPI | 1558527390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WAYNE BONEY President 313-368-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820289860) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |