Organization
MANORS OF CANTON, LLC
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT
Other names
Regency at Canton
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIENA HEALTHCARE MANAGEMENT
Authorized official
MR. MOHAMMED A QAZI (CEO/PRESIDENT)
(248) 386-0300
Entity
Organization
Contact information
Practice address
45900 GEDDES RD, CANTON, MI 48188-2306
(248) 386-0300
(248) 386-1652
Mailing address
45900 GEDDES RD, CANTON, MI 48188-2306
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2353316
—
MI
01
—
S9673
BCBSM
MI
Enumeration date
05/04/2011
Last updated
10/08/2012
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