Organization
RHEMA NORTHWEST OPERATING LLC
Active
Other names
Manor of Northwest Detroit Skilled Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M HACK (CFO)
(248) 569-8400
Entity
Organization
Contact information
Practice address
16181 HUBBELL ST, DETROIT, MI 48235
(313) 273-8764
(313) 273-6283
Mailing address
17515 W NINE MILE RD, SUITE 925, SOUTHFIELD, MI 48075
(248) 569-8400
(248) 569-5070
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
834870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2623830
—
MI
Enumeration date
05/05/2006
Last updated
08/22/2020
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