| NPI | 1609354539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARTIN EDDINGTON Member 231-218-2948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: None) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |