| NPI | 1801892229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. HENRY Controller 313-821-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 834650) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2008-02-06 |