Organization
FOUNTAIN BLEU NURSING & REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A DUNN (PRESIDENT)
(313) 255-2273
Entity
Organization
Contact information
Practice address
19175 ANGLIN ST, DETROIT, MI 48234-1407
(313) 892-3600
Mailing address
25440 5 MILE RD, REDFORD, MI 48239-3881
(313) 255-2273
(313) 255-2425
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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