| NPI | 1912082231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J SCHOCKE Administrator 586-752-2581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 504140) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-07-14 |