Organization
THE LAURELS OF KETTERING, LLC
Active
Other names
The Laurels of Kettering
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD A QAZI (PRESIDENT/CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
694 ISAAC PRUGH WAY, KETTERING, OH 45429-3481
(513) 319-5371
Mailing address
4000 TOWN CTR STE 2000, SOUTHFIELD, MI 48075-1415
(248) 386-0300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448098
—
OH
Enumeration date
03/31/2021
Last updated
08/13/2021
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