| NPI | 1841667623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN MARIE BROWN Owner 269-782-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI af140001319) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |