| NPI | 1942740931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MURIITHI Administrator 616-550-3982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS410321061) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |