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 |