| NPI | 1891471041 |
|---|---|
| Doing Business As | STEPHENS HOME |
| Entity Type | Organization |
| Authorized Contact | TEZIAH D MANUMBU Administrator 269-300-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |