| NPI | 1770390072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOTARA DENISE MCCALL CEO, Manager 989-906-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-13 |