| NPI | 1699435917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE MCCOLLUM Senior Advisor 734-837-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2023-08-29 |