| NPI | 1558712331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIKA MULDROW Sol Mbr 248-277-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 473104147) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |