Organization
DRAKE WOOD MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL R BHATTAD (ADMINISTRATOR)
(248) 797-8519
Entity
Organization
Contact information
Practice address
4353 W WALTON BLVD, WATERFORD, MI 48329-4071
(248) 674-2658
(248) 674-1919
Mailing address
19387 ISABELLA DR, MACOMB, MI 48044-5422
(248) 674-2658
(248) 674-1919
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/24/2021
Last updated
10/24/2021
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