| NPI | 1760677751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP MASTROFRANCESCO Executive Director 734-671-3654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MI AS820095786) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |