Organization
CAMELOT HALL ACQUISITION COMPANY INC
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC
Other names
Regency at Westland, Camelot Hall Convalescent Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIENA HEALTHCARE MANAGEMENT, INC
Authorized official
MR. MOHAMMAD A. QAZI (CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
2209 N NEWBURGH RD, WESTLAND, MI 48185-3373
(734) 522-1444
(734) 522-4690
Mailing address
2209 N NEWBURGH RD, WESTLAND, MI 48185-3373
(734) 522-1444
(734) 522-4690
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4321417
—
MI
01
—
S9674
BCBSM
MI
Enumeration date
07/01/2005
Last updated
03/26/2020
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