NPI 1750431276 · live from the CMS NPI Registry
Fairlane Senior Care And Rehab Center, LLC
Skilled Nursing Facility in Detroit, MI. National Provider Identifier 1750431276, active.
NPI record
| NPI | 1750431276 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 15750 Joy Rd, Detroit, MI 48228 |
| Practice phone | 313-273-6850 |
| Mailing address | 10503 Citation Dr Ste 100, Brighton, MI 48116 |
| Enumerated | January 10, 2007 |
| Last updated | May 5, 2022 |
| Authorized official | Todd Sangster, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | 332BN1400X | 834360 (MI) |
| Skilled Nursing Facility primary | 314000000X | 834360 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.