Organization
ELMWOOD GERIATRIC VILLAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JAMES BORTZ (PRESIDENT)
(586) 759-5966
Entity
Organization
Contact information
Practice address
1881 E GRAND BLVD, DETROIT, MI 48211-3041
(313) 922-1600
(313) 922-4756
Mailing address
11700 E 10 MILE RD, WARREN, MI 48089-3903
(586) 759-5966
(586) 759-8006
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
834980
MI
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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