| NPI | 1740678051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA LAVETTE SMITH Clinical Operation Director 248-804-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |