| NPI | 1932305752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REHA LAFRAN BURRELL Owner 269-344-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MI af390251655) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2014-03-31 |