Organization
HERITAGE MANOR NURSING & REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHIM UDDIN (AUTHORIZED MEMBER)
(248) 593-1990
Entity
Organization
Contact information
Practice address
9500 GRAND RIVER AVE, DETROIT, MI 48204-2132
(313) 491-7920
(313) 491-0510
Mailing address
30700 TELEGRAPH RD, SUITE 2504, BINGHAM FARMS, MI 48025-4524
(248) 593-1990
(248) 593-9120
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MI
Other
Enumeration date
09/12/2012
Last updated
01/17/2013
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