Organization
MOROUN NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M. HENRY (CONTROLLER)
(313) 821-3525
Entity
Organization
Contact information
Practice address
8045 E JEFFERSON AVE, DETROIT, MI 48214-2627
(313) 821-3525
(313) 821-3544
Mailing address
8045 E JEFFERSON AVE, DETROIT, MI 48214-2627
(313) 821-3525
(313) 821-3544
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
834650
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09558
BCBS
MI
05
—
2152010
—
MI
Enumeration date
06/21/2005
Last updated
02/06/2008
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