| NPI | 1811479330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ANN BOWMAN Vice President Of Operations 313-255-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |