| NPI | 1689115610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE FARAI MUJENI Licensee 616-805-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS410379919) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |