Organization
LAW-DEN NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD JOHNSON (ADMINISTRATOR)
(313) 867-1719
Entity
Organization
Contact information
Practice address
1640 WEBB ST, DETROIT, MI 48206-1350
(313) 867-1719
Mailing address
1640 WEBB ST, DETROIT, MI 48206-1350
(313) 867-1719
(313) 867-1840
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
15840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152001
—
MI
Enumeration date
04/28/2006
Last updated
08/22/2020
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