Organization
WILLOWBROOK ACQUISITION COMPANY, LLC
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC
Other names
Willowbrook Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIENA HEALTHCARE MANAGEMENT, INC
Authorized official
MR. MOHAMMAD ASHRAF QAZI (CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
4436 BEECHER RD, FLINT, MI 48532-2609
(810) 733-0290
(810) 733-6463
Mailing address
4436 BEECHER RD, FLINT, MI 48532-2609
(810) 733-0290
(810) 733-6463
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09816
BCBSM
MI
05
—
4499934
—
MI
Enumeration date
07/05/2005
Last updated
03/30/2010
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