| NPI | 1912340480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CHARLES GAUNT P.T. 231-884-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 26136) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |