NPI | 1689005399 |
---|---|
Entity Type | Organization |
Authorized Contact | NATE GARDIN Chief Operating Officer 248-788-4300 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2013-12-05 |
Last Update Date | 2013-12-05 |