Organization
APPLEWOOD NURSING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY M. TACKETT (PRESIDENT)
(248) 543-7300
Entity
Organization
Contact information
Practice address
18500 VAN HORN RD, WOODHAVEN, MI 48183-3803
(734) 676-7575
(734) 692-0039
Mailing address
910 S WASHINGTON AVE, ROYAL OAK, MI 48067-3216
(248) 543-7300
(248) 399-5300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
82-4510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09809
BLUE CROSS BLUE SHIELD
MI
05
—
60-2084654
—
MI
Enumeration date
11/20/2006
Last updated
03/20/2025
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