| NPI | 1730554015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA SHONTAE RUTH Director 989-401-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI as730377214) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |