| NPI | 1710374566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY MAY VELTEMA Slp 586-206-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 7101000142) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |