| NPI | 1841087848 |
|---|---|
| Doing Business As | VITALITY AFC HOME |
| Entity Type | Organization |
| Authorized Contact | BRENAE P WEAVER Facility Administrator 248-995-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |