| NPI | 1720451180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYI CHARLES AGBOR-BAIYEE Owner 734-635-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820340264) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |