Medilodge of Southfield, Inc.
NPI #1457311052 in Southfield, Michigan
Provider Information
- NPI Number
- 1457311052
- Entity Type
- Organization
- Organization Name
- Medilodge of Southfield, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 27, 2006
- Last Updated
- Jul 29, 2008
Practice Location
- Address
- 26715 GREENFIELD RD
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48076-4717
- Phone
- (248) 557-0050
Authorized Official
- Name
- KATHLEEN DENEAN
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (586) 752-5008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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