# APPLEWOOD NURSING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063586923
- **Authorized official:** MS. KIMBERLY M. TACKETT (PRESIDENT)
- **Authorized official phone:** (248) 543-7300

## Contact information

- **Practice address:** 18500 VAN HORN RD, WOODHAVEN, MI 48183-3803
- **Practice address phone:** (734) 676-7575
- **Practice address fax:** (734) 692-0039
- **Mailing address:** 910 S WASHINGTON AVE, ROYAL OAK, MI 48067-3216
- **Mailing address phone:** (248) 543-7300
- **Mailing address fax:** (248) 399-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 82-4510 | MI | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 03/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09809 | BLUE CROSS BLUE SHIELD | MI |
| 05 | — | 60-2084654 | — | MI |