Organization
NEW LIGHT BAPTIST CHURCH NURSING HOME, INC.
Active
Other names
New Light Nursing Home, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE B. TALLEY (ADMINISTRATOR)
(313) 491-7920
Entity
Organization
Contact information
Practice address
9500 GRAND RIVER AVE, DETROIT, MI 48204-2132
(313) 491-7920
(313) 491-0510
Mailing address
9500 GRAND RIVER AVE, DETROIT, MI 48204-2132
(313) 491-7920
(313) 491-0510
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2152057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152057
—
MI
Enumeration date
08/25/2005
Last updated
08/22/2020
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