| NPI | 1639809577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE PETTIS Owner 248-820-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |