Organization
ST. MARY'S ACQUISITION COMPANY INC
Active
Other names
Regency at St. Clair Shores
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD ASHRAF QAZI (CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
22700 GREATER MACK AVENUE, ST CLAIR SHORES, MI 48080-1917
(586) 443-4910
Mailing address
4000 TOWN CTR STE 2000, SOUTHFIELD, MI 48075-1415
(248) 262-2357
(586) 772-6608
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4321453
—
MI
01
—
S9553
BCBSM PIN
MI
Enumeration date
07/01/2005
Last updated
08/15/2019
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