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Organization
SORRENTO CARE CENTER, LLC
Active
Organization
SORRENTO CARE CENTER, LLC
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIENA HEALTHCARE MANAGEMENT, INC
Authorized official
MOHAMMAD A QAZI (CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
12900 W CHICAGO ST, DETROIT, MI 48228-2651
(313) 491-7830
Mailing address
12900 W CHICAGO ST, DETROIT, MI 48228-2651
(313) 491-7830
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09570
BCBSM
—
05
—
4844651
—
MI
Enumeration date
03/29/2006
Last updated
03/30/2010
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