| NPI | 1831300706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WILSON President 517-663-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AM230008124) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |