| NPI | 1912360595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY HASTINGS Managing Member 248-569-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 50-406) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |