| NPI | 1760807002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALINE LENETTE WHITE Owner/Supervisor 248-298-9217 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS630301996) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |