| NPI | 1841527660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PETERSON Administrator 810-245-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AL440257936) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MI AL440263405) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |