Pine Creek Manor Skilled Nursing & Rehab Center LLC

NPI #1871088898 in Wayne, Michigan

Provider Information

NPI Number
1871088898
Entity Type
Organization
Organization Name
Pine Creek Manor Skilled Nursing & Rehab Center LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 22, 2018
Last Updated
Jun 22, 2018

Practice Location

Address
34330 VAN BORN RD
City
Wayne
ZIP Code
48184-2472
Phone
(248) 229-1331

Authorized Official

Name
FAHIM UDDIN
Title
SOLE MEMBER
Phone
(313) 549-7708

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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