# CCLA 9 LLC

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

## Provider details

- **NPI number:** 1851691844
- **Authorized official:** MR. RICHARD L LEVIN (MANAGER)
- **Authorized official phone:** (248) 891-2111

## Contact information

- **Practice address:** 18300 E WARREN AVE, DETROIT, MI 48224-1343
- **Practice address phone:** (248) 385-0559
- **Practice address fax:** (248) 593-9941
- **Mailing address:** 17515 W 9 MILE RD, SUITE 925, SOUTHFIELD, MI 48075-4403
- **Mailing address phone:** (248) 569-8400
- **Mailing address fax:** (248) 569-5070

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 01/14/2025