| NPI | 1821087701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A PERRY Administrator 269-343-2587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 394010) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2008-07-03 |