| NPI | 1881011518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMEON SMITH Owner Of Organization 313-768-4365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820338262) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |