Organization
OUTER DRIVE PARTNERS LLC
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC
Other names
Hartford Nursing & Rehab Center
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
6700 W OUTER DR, DETROIT, MI 48235-2724
(313) 836-1700
Mailing address
4000 TOWN CTR STE 700, SOUTHFIELD, MI 48075-1424
(248) 386-0300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09999
BCBSM
MI
05
—
4690715
—
MI
Enumeration date
07/05/2005
Last updated
11/16/2016
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