| NPI | 1790154730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDA ELAINE DREVES Owner/Manager 231-922-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AL280095116) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |