Organization
SHELBY TOWNSHIP CARE CENTER, LLC
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC
Other names
Regency at Shelby Township
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIENA HEALTHCARE MANAGEMENT, INC
Authorized official
MOHAMED A QAZI (CEO/PRESIDENT)
(248) 386-0300
Entity
Organization
Contact information
Practice address
7401 22 MILE ROAD, SHELBY TOWNSHIP, MI 48317
(248) 386-0300
Mailing address
7401 22 MILE ROAD, SHELBY TOWNSHIP, MI 48317
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S8980
BCBSM
MI
Enumeration date
10/03/2013
Last updated
05/02/2016
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