| NPI | 1639504913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI JUNE ANDERSON Staff Nurse / Assistant Home Manage 906-420-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MI 4704258587) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |