| NPI | 1851402382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LATOVICK VP Reimbursement 734-343-6628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 680C) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CT 28-RH) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-08-18 |