| NPI | 1780124669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG EDEM EYAMBA Administrator 616-710-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MI AS410360436) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |