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NPI 1295018745 · live from the CMS NPI Registry

Ccla 9 LLC

Skilled Nursing Facility in Detroit, MI. National Provider Identifier 1295018745, active.

NPI record

NPI1295018745 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location7733 E Jefferson Ave, Detroit, MI 48214
Practice phone313-499-4100
Mailing addressPo Box 250459, Franklin, MI 48025
EnumeratedSeptember 21, 2011
Last updatedSeptember 21, 2011
Authorized officialTim Kamego, Director Of Operations
Other namesRiverview Health & Rehab Center

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.