Organization
NORTHERN OAK MANAGEMENT COMPANY, LLC
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIENA HEALTHCARE MANAGEMENT, INC
Authorized official
MOHAMED A QAZI (CEO/PRESIDENT)
(248) 386-0300
Entity
Organization
Contact information
Practice address
1901 N TELEGRAPH RD, WATERFORD, MI 48328-1878
(248) 386-0300
Mailing address
1901 N TELEGRAPH RD, WATERFORD, MI 48328-1878
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2316091
—
MI
01
—
S9672
BCBSM
—
Enumeration date
12/07/2010
Last updated
06/28/2012
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