Organization
MICHIGAN WW OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENACHEM P KOFMAN (MEMBER)
(732) 908-1218
Entity
Organization
Contact information
Practice address
16588 SCHAEFER HWY, DETROIT, MI 48235-4249
(313) 345-5000
Mailing address
2360 LAKEWOOD RD STE 2, TOMS RIVER, NJ 08755-1929
(732) 908-1218
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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