# ST. JUDE NURSING CENTER, INC.

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

## Provider details

- **NPI number:** 1801854815
- **Authorized official:** MR. BRADLEY J.M. MALI (OWNER)
- **Authorized official phone:** (734) 261-4800

## Contact information

- **Practice address:** 34350 ANN ARBOR TRL, LIVONIA, MI 48150-3606
- **Practice address phone:** (734) 261-4800
- **Practice address fax:** (734) 261-0430
- **Mailing address:** 34350 ANN ARBOR TRL, LIVONIA, MI 48150-3606
- **Mailing address phone:** (734) 261-4800
- **Mailing address fax:** (734) 261-0430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 824260 | MI | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 08/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09568 | BCBS OF MI | MI |
| 05 | — | 4797426 | — | MI |
| 05 | — | 824260 | — | MI |