| NPI | 1851789234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELE B JAMISON Owner 269-699-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AF140093677) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |