| NPI | 1750832564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODEIRA JOHNSON Owner/CEO/President 248-877-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MI AS630369663) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI AS630369663) |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS630369663) | |
| 385H00000X Respite Care (Licence: MI AS630369663) | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS630369663) | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2018-11-13 |