NPI | 1730516741 |
---|---|
Entity Type | Organization |
Authorized Contact | MALINDA ANN LEWIS CEO/President 313-582-4286 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 310400000X Assisted Living Facility |
Enumeration Date | 2013-10-04 |
Last Update Date | 2013-10-04 |