Organization
CCLA9, LLC
Active
Other names
Riverview health & Rehab Center Vent Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM KAMEGO (DIRECTOR OF OPERATIONS)
(313) 342-1200
Entity
Organization
Contact information
Practice address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(248) 385-0559
(248) 593-9941
Mailing address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(313) 432-1200
(313) 432-1300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
01/14/2025
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