# HENRY FORD VILLAGE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HENRY FORD VILLAGE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538122452
- **Authorized official:** MR. RONALD JESMORE (CHAIRPERSON)
- **Authorized official phone:** (313) 584-1000

## Contact information

- **Practice address:** 15051 FORD RD, DEARBORN, MI 48126-4698
- **Practice address phone:** (313) 846-7142
- **Mailing address:** 15051 FORD RD, DEARBORN, MI 48126-4698
- **Mailing address phone:** (313) 846-7142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 824026 | MI | Yes |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 08/28/2019
