| NPI | 1730684754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE GIDDINGS Administrator/Owner 313-434-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-06-16 |