| NPI | 1609129469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ETTA SARRACH Administrator 734-620-3895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS82030507) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |