Organization
JACKSON OPCO, LLC
Active
Other names
Regency at Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD A QAZI (MANAGER)
(248) 386-0300
Entity
Organization
Contact information
Practice address
434 W NORTH ST, JACKSON, MI 49202-3313
(517) 787-3250
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
Enumeration date
11/14/2016
Last updated
02/03/2025
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