| NPI | 1780802116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN NAGRANT-ARMITAGE Obra Evaluator 313-961-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 6801059542) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-08-14 |