Organization
DETROIT NUSRING CENTER LLC DBA IMPERIAL HEALTHCARE CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (CFO)
(224) 470-2044
Entity
Organization
Contact information
Practice address
26505 POWERS AVE, DEARBORN HEIGHTS, MI 48125-1327
(313) 291-6200
Mailing address
26505 POWERS AVE, DEARBORN HEIGHTS, MI 48125-1327
(313) 291-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
824012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09801
BLUE CROSS BLUE SHIELD
MI
05
—
4618249
—
MI
Enumeration date
12/30/2005
Last updated
11/04/2025
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