Organization
LAKEVIEW MANOR ACQUISITION COMPANY, INC.
Active
Parent organization
CIENA HEALTHCARE MANAGEMENT, INC
Other names
Lakeview Manor Healthcare Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIENA HEALTHCARE MANAGEMENT, INC
Authorized official
MR. MOHAMMAD ASHRAF QAZI (CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
408 N 5TH AVE, TAWAS CITY, MI 48763-9245
(989) 362-2211
(989) 984-0267
Mailing address
408 N 5TH AVE, TAWAS CITY, MI 48763-9245
(989) 362-2211
(989) 984-0267
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4314664
—
MI
01
—
S9546
BCBSM
MI
Enumeration date
07/05/2005
Last updated
05/24/2013
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