| NPI | 1831699529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARIKA SHNETTE PHILLIPS Owner 734-833-8144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |