Organization
CCLA 6 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM M KAMEGO SR. (DIRECTOR OF OPERATIONS)
(586) 770-8017
Entity
Organization
Contact information
Practice address
900 COOK RD, GROSSE POINTE WOODS, MI 48236-2739
(248) 385-0559
(248) 593-9941
Mailing address
900 COOK RD, GROSSE POINTE WOODS, MI 48236-2739
(131) 388-5500
(131) 388-4272
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
01/14/2025
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