| NPI | 1710230867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKA JAMESON ONYEBUCHI Provider 734-219-2456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |