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Organization
THE VILLAGE OF REDFORD
Active
Organization
THE VILLAGE OF REDFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA CURRIER NHA (ADMINISTRATOR)
(313) 541-6063
Entity
Organization
Contact information
Practice address
25330 W 6 MILE RD, REDFORD, MI 48240-2105
(313) 541-6063
(313) 541-6491
Mailing address
25330 W 6 MILE RD, REDFORD, MI 48240-2105
(313) 541-6063
(313) 541-6491
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
82 4250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235014
PROVIDER NUMBER
MI
01
—
82 4250
BHS NUMBER
MI
Enumeration date
10/05/2012
Last updated
10/05/2012
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