Organization
ASPEN RIDGE, LLC
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC
Other names
Hickory Ridge of Temperance
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
951 HICKORY CREEK BLVD., TEMPERANCE, MI 48182
(248) 386-0300
Mailing address
951 HICKORY CREEK BLVD., TEMPERANCE, MI 48182
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5489941
—
MI
01
—
S9638
BCBSM
—
Enumeration date
01/22/2008
Last updated
10/29/2009
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