| NPI | 1578688735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE J CHILCOTE Administrator 231-932-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 454012) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-04-08 |