| NPI | 1871596239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R PAGE Administrator 248-363-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 634410) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |