Organization
CHURCH OF CHRIST HOME FOR THE AGED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD L BERGER (DIRECTOR OF FINANCE)
(586) 791-2470
Entity
Organization
Contact information
Practice address
23575 15 MILE RD, CLINTON TOWNSHIP, MI 48035-3108
(586) 791-2470
(586) 791-2475
Mailing address
23575 15 MILE RD, CLINTON TOWNSHIP, MI 48035-3108
(586) 791-2470
(586) 791-2475
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
50-422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153528
—
MI
Enumeration date
08/07/2006
Last updated
08/22/2020
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