| NPI | 1952397226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A JOHNSON Administrator 313-892-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 834031) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |