Organization
FOUNTAIN BLEU HEALTH AND REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ANN BOWMAN (VICE PRESIDENT OF OPERATIONS)
(313) 255-2273
Entity
Organization
Contact information
Practice address
28910 PLYMOUTH RD, LIVONIA, MI 48150-2337
(734) 425-4814
(734) 425-6024
Mailing address
25440 5 MILE RD, REDFORD, MI 48239-3881
(313) 255-2273
(313) 255-2425
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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