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Organization
RHEMA NORTHWEST OPERATING LLC
Active
Organization
RHEMA NORTHWEST OPERATING LLC
Active
Other names
Manor of Northwest Detroit Skilled Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M HACK (CFO)
(248) 569-8400
Entity
Organization
Contact information
Practice address
16181 HUBBELL ST, DETROIT, MI 48235
(313) 273-8764
(313) 273-6283
Mailing address
17515 W NINE MILE RD, SUITE 925, SOUTHFIELD, MI 48075
(248) 569-8400
(248) 569-5070
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
834870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2623830
—
MI
Enumeration date
05/05/2006
Last updated
08/22/2020
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