| NPI | 1619452182 |
|---|---|
| Doing Business As | TIMBERDALE TRACE |
| Entity Type | Organization |
| Authorized Contact | CORY WAKE Associate 734-418-9027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |