| NPI | 1831674746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENORA VIRGINIA CRITE Vice President 313-701-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |