| NPI | 1861787913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE VISTA-MARIA PRATT Administrator 313-655-5921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820308702) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |