# COLONIAL HEALTH CARE CENTER,LLC DBA ST. JOSEPHS'S HEALTH CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497733307
- **Authorized official:** MARCELLA GRAF (CFO)
- **Authorized official phone:** (224) 470-2044

## Contact information

- **Practice address:** 9400 CONANT ST, HAMTRAMCK, MI 48212-3538
- **Practice address phone:** (313) 664-1031
- **Mailing address:** 9400 CONANT ST, HAMTRAMCK, MI 48212-3538
- **Mailing address phone:** (313) 664-1031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 824340 | MI | Yes |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 11/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09680 | BC/BS ID | MI |
| 05 | — | 4614268 | — | MI |