| NPI | 1902067580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADIKA DESIKAN Administrator 248-304-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 5201002935) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MI 5501004937) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |