# ST JAMES NURSING & PHYSICAL REHABILITATION CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CIENA HEALTHCARE MANAGEMENT, INC.
- **Other names:** St James Nursing Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215934443
- **Legal business name:** CIENA HEALTHCARE MANAGEMENT, INC.
- **Authorized official:** MR. MOHAMMAD ASHRAF QAZI (CEO)
- **Authorized official phone:** (248) 386-0300

## Contact information

- **Practice address:** 15063 GRATIOT AVE, DETROIT, MI 48205-1332
- **Practice address phone:** (313) 372-4065
- **Practice address fax:** (313) 372-0999
- **Mailing address:** 15063 GRATIOT AVE, DETROIT, MI 48205-1332
- **Mailing address phone:** (313) 372-4065
- **Mailing address fax:** (313) 372-0999

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 02/09/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09520 | BCBSM | MI |
| 05 | — | 2737376 | — | MI |