Redford Geriatric Village, Inc in Warren - Skilled Nursing Facility

Redford Geriatric Village, Inc - NPI 1104903590

Redford Geriatric Village, Inc is a Skilled Nursing Facility in Warren, Michigan. Redford Geriatric Village, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Redford Geriatric Village, Inc is 1104903590. The last update date is 2011-04-28.

Redford Geriatric Village, Inc's current location address is 11700 E 10 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5867595966 and fax number 5867598006. The mailing address for Redford Geriatric Village, Inc is 11700 E 10 Mile Rd, Warren, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Redford Geriatric Village, Inc
Address 11700 E 10 Mile Rd, Warren, Michigan
Phone Number 5867595966
Fax Number 5867598006
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Bortz James Donald
Telephone Number 5867595966

NPI Number Detail

NPI Number 1104903590
Provider Enumeration Date 2006-11-01
Last Updated Date 2011-04-28

Provider Mailing Address Detail

Address 11700 E 10 Mile Rd
City Warren
State Michigan (MI)
Post Code 480893903
Phone Number 5867595966
Fax Number 5867598006

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 834340
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
602084979 MI --

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FAQs about Redford Geriatric Village, Inc

Where is the Redford Geriatric Village, Inc located?

The Redford Geriatric Village, Inc is located at 11700 E 10 Mile Rd, Warren, MI 480893903.

What is the Redford Geriatric Village, Inc's specialty and taxonomy code?

The Redford Geriatric Village, Inc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.

What is the area of specialization for Redford Geriatric Village, Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Redford Geriatric Village, Inc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.

When was the Redford Geriatric Village, Inc's 1104903590 issued?

The Redford Geriatric Village, Inc's 1104903590 was issued on 2006-11-01.

On what date did the Centers for Medicare & Medicaid Services issue the 1104903590 to Redford Geriatric Village, Inc?

The Redford Geriatric Village, Inc received its 1104903590 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.

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