Organization
WEST OAKS SENIOR CARE AND REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD SANGSTER (CFO)
(810) 534-0150
Entity
Organization
Contact information
Practice address
22355 W 8 MILE RD, DETROIT, MI 48219-1217
(313) 255-6450
(313) 538-2957
Mailing address
10503 CITATION DR STE 100, BRIGHTON, MI 48116-6551
(810) 534-0150
(810) 534-0208
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
834950
MI
332BN1400X
Nursing Facility Supplies (DME)
834950
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09512
BCBS PROVIDER CODE
MI
01
—
0H22881
BCBS DME P&O
MI
05
—
4784259
—
MI
Enumeration date
08/05/2006
Last updated
05/05/2022
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