Organization
REGENCY AT INDEPENDENCE TOWNSHIP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD QAZI (MANAGER/OWNER)
(248) 262-2357
Entity
Organization
Contact information
Practice address
6211 STONEWOOD DRIVE, CLARKSTON, MI 48346
(248) 262-2357
Mailing address
4000 TOWN CTR STE 700, SOUTHFIELD, MI 48075-1424
(248) 262-2357
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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