| NPI | 1790110070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA KAY MANARY Staff Nurse / House Manager 989-883-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MI 4703095012) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |