NPI 1669479804 · live from the CMS NPI Registry
Deckerville Nursing Center, LLC
Skilled Nursing Facility in Deckerville, MI. National Provider Identifier 1669479804, active.
NPI record
| NPI | 1669479804 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 3387 Ella, Deckerville, MI 48427 |
| Practice phone | 810-376-2145 |
| Enumerated | July 1, 2005 |
| Last updated | September 16, 2026 |
| Authorized official | Mohammad Qazi, Ceo |
| Other names | Autumnwood Of Deckerville |
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.