Organization
COLONIAL HEALTH CARE CENTER,LLC DBA ST. JOSEPHS'S HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (CFO)
(224) 470-2044
Entity
Organization
Contact information
Practice address
9400 CONANT ST, HAMTRAMCK, MI 48212-3538
(313) 664-1031
Mailing address
9400 CONANT ST, HAMTRAMCK, MI 48212-3538
(313) 664-1031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
824340
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09680
BC/BS ID
MI
05
—
4614268
—
MI
Enumeration date
01/03/2006
Last updated
11/04/2025
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