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 |
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Address | 11700 E 10 Mile Rd, Warren, Michigan |
Phone Number | 5867595966 |
Fax Number | 5867598006 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Bortz James Donald |
Telephone Number | 5867595966 |
NPI Number Detail
NPI Number | 1104903590 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2011-04-28 |
Provider Mailing Address Detail
Address | 11700 E 10 Mile Rd |
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City | Warren |
State | Michigan (MI) |
Post Code | 480893903 |
Phone Number | 5867595966 |
Fax Number | 5867598006 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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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 |
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602084979 | MI | -- |
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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.