| NPI | 1679993489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA DENISE CADE Owner 313-740-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 4704166509) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |