Organization
EASTWOOD CONVALESCENT CENTER INC.
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC
Other names
Regency at Chene
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIENA HEALTHCARE MANAGEMENT, INC
Authorized official
MR. MOHAMMAD A QAZI (CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
2295 E VERNOR HWY, DETROIT, MI 48207-3513
(313) 923-5816
(313) 923-6155
Mailing address
2295 E VERNOR HWY, DETROIT, MI 48207-3513
(313) 923-5816
(313) 923-6155
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3302112
—
MI
01
—
S9533
BCBSM
MI
Enumeration date
06/30/2005
Last updated
04/06/2020
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