# RHEMA WLC OPERATING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Manor of Wayne Skilled Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437107042
- **Authorized official:** DERRICK ROBINSON (VP OF FINANCE)
- **Authorized official phone:** (248) 569-8400

## Contact information

- **Practice address:** 4429 VENOY RD, WAYNE, MI 48184
- **Practice address phone:** (734) 326-6424
- **Practice address fax:** (734) 467-8160
- **Mailing address:** 17515 W NINE MILE RD, SUITE 925, SOUTHFIELD, MI 48075
- **Mailing address phone:** (248) 569-8400
- **Mailing address fax:** (248) 569-5070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 824460A | MI | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4962047 | — | MI |