# LAW-DEN NURSING HOME, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1568429835
- **Authorized official:** MR. TODD JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (313) 867-1719

## Contact information

- **Practice address:** 1640 WEBB ST, DETROIT, MI 48206-1350
- **Practice address phone:** (313) 867-1719
- **Mailing address:** 1640 WEBB ST, DETROIT, MI 48206-1350
- **Mailing address phone:** (313) 867-1719
- **Mailing address fax:** (313) 867-1840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 15840 | MI | Yes |

## Other

- **Enumeration date:** 04/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2152001 | — | MI |