# WEST BLOOMFIELD HEALTH AND REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Bloomfield Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073518171
- **Authorized official:** GAIL HOFFMAN (EXECUTIVE CONTROLLER)
- **Authorized official phone:** (248) 661-2088

## Contact information

- **Practice address:** 6445 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2047
- **Practice address phone:** (248) 661-1600
- **Practice address fax:** (248) 661-2276
- **Mailing address:** 6445 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2047
- **Mailing address phone:** (248) 661-1600
- **Mailing address fax:** (248) 661-2276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 634019 | MI | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 08/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09831 | BLUE CROSS BLUE SHIELD | MI |
| 05 | — | 1608912 | — | MI |