# BOULEVARD TEMPLE CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CIENA HEALTHCARE MANAGEMENT, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689805970
- **Legal business name:** CIENA HEALTHCARE MANAGEMENT, INC
- **Authorized official:** MR. MOHAMMAD A QAZI (CEO/PRESIDENT)
- **Authorized official phone:** (248) 386-0300

## Contact information

- **Practice address:** 2567 W GRAND BLVD, DETROIT, MI 48208-1235
- **Practice address phone:** (313) 895-5340
- **Practice address fax:** (313) 895-5970
- **Mailing address:** 2567 W GRAND BLVD, DETROIT, MI 48208-1235
- **Mailing address phone:** (313) 895-5340
- **Mailing address fax:** (313) 895-5970

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2009
- **Last updated:** 09/16/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2153377 | — | MI |