NPI | 1891198057 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE BLEWETT Administrator 989-832-6634 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI A1560000004) |
Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MI A1560000004) |
311500000X Alzheimer Center (Dementia Center) (Licence: MI A1560000004) | |
Enumeration Date | 2014-10-02 |
Last Update Date | 2014-10-02 |