| NPI | 1568305886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA DRAIN Owner 231-769-5596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-04-11 |
| Last Update Date | 2026-04-11 |