| NPI | 1801962097 |
|---|---|
| Doing Business As | COVENTRY HOUSE INN |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M TACKETT President 248-543-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 114184) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MI 1070000420) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-05-13 |