Organization
HEARTLAND-DORVIN OF LIVONIA MI LLC
Active
Other names
Heartland Health Care Center-Livonia NE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
29270 MORLOCK ST, LIVONIA, MI 48152-2044
(248) 476-0555
(248) 477-5391
Mailing address
333 N SUMMIT ST, ATTN: BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
824110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605290914
—
MI
Enumeration date
06/06/2006
Last updated
01/07/2013
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