# CCLA 6 LLC

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

## Provider details

- **NPI number:** 1902292279
- **Authorized official:** MR. TIM M KAMEGO SR. (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (586) 770-8017

## Contact information

- **Practice address:** 900 COOK RD, GROSSE POINTE WOODS, MI 48236-2739
- **Practice address phone:** (248) 385-0559
- **Practice address fax:** (248) 593-9941
- **Mailing address:** 900 COOK RD, GROSSE POINTE WOODS, MI 48236-2739
- **Mailing address phone:** (131) 388-5500
- **Mailing address fax:** (131) 388-4272

## Taxonomy

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

## Other

- **Enumeration date:** 04/13/2015
- **Last updated:** 01/14/2025