| NPI | 1588656615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS JOHNSON Administrator 313-833-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 83-4370) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-08-22 |