Organization
NORTHVILLE MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHIM UDDIN (MEMBER)
(248) 593-1990
Entity
Organization
Contact information
Practice address
520 W MAIN ST, NORTHVILLE, MI 48167-1529
(248) 349-4290
Mailing address
30700 TELEGRAPH RD STE 2504, BINGHAM FARMS, MI 48025-4571
(248) 593-1990
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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