Healthcare Provider Details

I. General information

NPI: 1639176639
Provider Name (Legal Business Name): RIVERVIEW ACQUISITION COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 12/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 HURONVIEW BLVD
ANN ARBOR MI
48103-2949
US

IV. Provider business mailing address

355 HURONVIEW BLVD
ANN ARBOR MI
48103-2949
US

V. Phone/Fax

Practice location:
  • Phone: 734-761-3800
  • Fax: 734-761-3802
Mailing address:
  • Phone: 734-761-3800
  • Fax: 734-761-3802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMMAD ASHRAF QAZI
Title or Position: CEO
Credential:
Phone: 248-386-0300