| NPI | 1942720412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BADER Owner 734-516-9824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS790385117) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |