| NPI | 1568172245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUNDRA BRANNON President/Owner 313-319-4917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |