| NPI | 1639436272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA PAIGE Owner/Vice President 810-732-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AM250008195) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |