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Organization
COLONIAL HEALTH CARE CENTER,LLC DBA ST. JOSEPHS'S HEALTH CARE CENTER
Active
Organization
COLONIAL HEALTH CARE CENTER,LLC DBA ST. JOSEPHS'S HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (CFO)
(224) 470-2044
Entity
Organization
Contact information
Practice address
9400 CONANT ST, HAMTRAMCK, MI 48212-3538
(313) 664-1031
Mailing address
9400 CONANT ST, HAMTRAMCK, MI 48212-3538
(313) 664-1031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
824340
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09680
BC/BS ID
MI
05
—
4614268
—
MI
Enumeration date
01/03/2006
Last updated
11/04/2025
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