| NPI | 1609869841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E DUNN Administrator 906-224-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 278510) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2011-11-14 |