| NPI | 1629489380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN MOORE CEO/ Administrator 313-333-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-06-06 |