NPI | 1669479804 |
---|---|
Doing Business As | AUTUMNWOOD OF DECKERVILLE |
Entity Type | Organization |
Authorized Contact | MOHAMMAD ASHRAF QAZI CEO 248-386-0300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2005-07-01 |
Last Update Date | 2013-06-14 |