| NPI | 1588655849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LEE FERGUSON Administrator 810-664-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 44-4010) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MI 44-4010) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2011-09-14 |