Regency On the Lake-Fort Gratiot, LLC
NPI #1356491369 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1356491369
- Entity Type
- Organization
- Organization Name
- Regency On the Lake-Fort Gratiot, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CIENA HEALTHCARE MANAGEMENT, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Mar 30, 2010
Practice Location
- Address
- 5669 LAKESHORE RD
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-2817
- Phone
- (810) 385-7260
Authorized Official
- Name
- MR. MOHAMMAD ASHRAF QAZI
- Title
- CEO
- Phone
- (248) 386-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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