Organization
SORRENTO CARE CENTER, LLC
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIENA HEALTHCARE MANAGEMENT, INC
Authorized official
MOHAMMAD A QAZI (CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
12900 W CHICAGO ST, DETROIT, MI 48228-2651
(313) 491-7830
Mailing address
12900 W CHICAGO ST, DETROIT, MI 48228-2651
(313) 491-7830
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09570
BCBSM
—
05
—
4844651
—
MI
Enumeration date
03/29/2006
Last updated
03/30/2010
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