| NPI | 1861488108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN TUCKEY Administrator 517-263-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 468510) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2024-11-18 |