# WESTLAND CONVALESCENT & REHAB CENTER

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

## Provider details

- **NPI number:** 1679571806
- **Authorized official:** MS. JUDITH G CAROSELLI RN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (734) 728-6100

## Contact information

- **Practice address:** 36137 WARREN RD, WESTLAND, MI 48185-2027
- **Practice address phone:** (734) 728-6100
- **Practice address fax:** (734) 728-9741
- **Mailing address:** 36137 WARREN RD, WESTLAND, MI 48185-2027
- **Mailing address phone:** (734) 728-6100
- **Mailing address fax:** (734) 728-9741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 824380 | MI | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 10/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09756 | BCBS OF MICHIGAN | MI |
| 05 | — | 2083147 | — | MI |