| NPI | 1801233465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DOUGLAS GLOVER CEO 248-247-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2014-10-08 |