| NPI | 1790240547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA RODGERS-NEAL Health Service Administrator 810-875-5841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 314000000X Skilled Nursing Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |