Organization
BOULEVARD TEMPLE 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
MR. MOHAMMAD A QAZI (CEO/PRESIDENT)
(248) 386-0300
Entity
Organization
Contact information
Practice address
2567 W GRAND BLVD, DETROIT, MI 48208-1235
(313) 895-5340
(313) 895-5970
Mailing address
2567 W GRAND BLVD, DETROIT, MI 48208-1235
(313) 895-5340
(313) 895-5970
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153377
—
MI
Enumeration date
08/04/2009
Last updated
02/08/2010
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