| NPI | 1922070085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT K STEVENS President Administrator 810-694-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 254190) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-08-22 |