# MOROUN NURSING HOME

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

## Provider details

- **NPI number:** 1801892229
- **Authorized official:** MR. DAVID M. HENRY (CONTROLLER)
- **Authorized official phone:** (313) 821-3525

## Contact information

- **Practice address:** 8045 E JEFFERSON AVE, DETROIT, MI 48214-2627
- **Practice address phone:** (313) 821-3525
- **Practice address fax:** (313) 821-3544
- **Mailing address:** 8045 E JEFFERSON AVE, DETROIT, MI 48214-2627
- **Mailing address phone:** (313) 821-3525
- **Mailing address fax:** (313) 821-3544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 834650 | MI | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 02/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09558 | BCBS | MI |
| 05 | — | 2152010 | — | MI |