| NPI | 1811395692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN OPARA Public Relations Officer 734-262-9408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI 4704261009) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: MI 4704283827) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |