| NPI | 1629305321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY DENNY Administrator 269-327-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AL390007092) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MI AL390016015) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |