Boulevard Manor L.l.c.

NPI 1063712586 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1063712586
Enumeration Date 11/01/2010
Last Updated 04/20/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name FAHIM FAHIM
Position AUTHORIZED MEMBER
Phone (313) 579-2255
Fax (313) 579-5756
Practice Location
464 E GRAND BLVD
DETROIT MI, 48207-3637, US
Phone (313) 579-2255
Fax (313) 579-5756
Business Location
2920 OAKWOOD BLVD
SUITE B
MELVINDALE MI, 48122-1244, US
Phone (313) 579-2255
Fax (313) 579-5756
Toxanomy
Taxonomy Code 314000000X
License State
License Number
Remove 1063712586 NPI Number
 

According to our database, Boulevard Manor L.l.c. NPI is 1063712586, taxonomy code is 314000000X Boulevard Manor L.l.c. physically located at 464 E Grand Blvd, Detroit MI, 48207-3637. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063712586 NPI number is provided on an as is basis without warranty of any kind. 1063712586 is maintained by the National Plan & Provider Enumeration System. The contents of Boulevard Manor L.l.c. are for informational purposes only.