| NPI | 1861804817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE WOLFRUM Sr. Billing Anaylist 734-433-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |