| NPI | 1982057204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA OBAKPOLOR President 313-465-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820289004) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |