Organization
CCLA 9 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L LEVIN (MANAGER)
(248) 891-2111
Entity
Organization
Contact information
Practice address
18300 E WARREN AVE, DETROIT, MI 48224-1343
(248) 385-0559
(248) 593-9941
Mailing address
17515 W 9 MILE RD, SUITE 925, SOUTHFIELD, MI 48075-4403
(248) 569-8400
(248) 569-5070
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/25/2010
Last updated
01/14/2025
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