| NPI | 1972847184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HILEMAN Executive Director 616-677-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: MI SR700200220) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385H00000X Respite Care (Licence: MI AC700200613) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |