NPI | 1861497398 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY MARTIN Administrator 231-533-8661 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 058510) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2020-08-22 |