| NPI | 1649304270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY BALL Business Office Manager 231-932-3063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-02-21 |