| NPI | 1578083077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIREECE BASS President 313-829-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820388077) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |