# FRIENDSHIP MANOR NURSING HOME

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

## Provider details

- **NPI number:** 1588656615
- **Authorized official:** LOUIS JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (313) 833-7600

## Contact information

- **Practice address:** 3950 BEAUBIEN ST, DETROIT, MI 48201-2120
- **Practice address phone:** (313) 833-7600
- **Practice address fax:** (313) 833-0366
- **Mailing address:** 3950 BEAUBIEN ST, DETROIT, MI 48201-2120
- **Mailing address phone:** (313) 833-7600
- **Mailing address fax:** (313) 833-0366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 83-4370 | MI | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 08/22/2020
