Organization
ST JAMES NURSING & PHYSICAL REHABILITATION CENTER, INC.
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC.
Other names
St James Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIENA HEALTHCARE MANAGEMENT, INC.
Authorized official
MR. MOHAMMAD ASHRAF QAZI (CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
15063 GRATIOT AVE, DETROIT, MI 48205-1332
(313) 372-4065
(313) 372-0999
Mailing address
15063 GRATIOT AVE, DETROIT, MI 48205-1332
(313) 372-4065
(313) 372-0999
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09520
BCBSM
MI
05
—
2737376
—
MI
Enumeration date
07/01/2005
Last updated
02/09/2010
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