| NPI | 1679704886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA SHARAIM SMILEY-FULLER Certified Nursing Assistant 313-778-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 376K00000X) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |