| NPI | 1659854313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYATA HAMILTON-CARTER Administrator 313-475-9947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |