| NPI | 1962647552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A ANIAPAM President/CEO 313-399-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2023-02-01 |