NPI 1114744653 · live from the CMS NPI Registry
Canterbury Mi Opco LLC
Skilled Nursing Facility in Waterford, MI. National Provider Identifier 1114744653, active.
NPI record
| NPI | 1114744653 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 5601 Hatchery Rd, Waterford, MI 48329 |
| Practice phone | 248-674-9292 |
| Enumerated | September 25, 2024 |
| Last updated | September 25, 2024 |
| Authorized official | Jacob Taub, Coo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.