| NPI | 1588337109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL JOHNSON Resident Care Director 248-896-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |