| NPI | 1992120927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LORRAINE HESTER Executive Administrator 616-329-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |