| NPI | 1750225488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYOWA SULE Owner 248-961-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |