Healthcare Provider Details

I. General information

NPI: 1609856327
Provider Name (Legal Business Name): HENRY FORD CONTINUING CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19850 HARPER AVE
HARPER WOODS MI
48225-1804
US

IV. Provider business mailing address

19850 HARPER AVE
HARPER WOODS MI
48225-1804
US

V. Phone/Fax

Practice location:
  • Phone: 313-640-3375
  • Fax: 313-882-6789
Mailing address:
  • Phone: 313-640-3375
  • Fax: 313-882-6789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number824060
License Number StateMI

VIII. Authorized Official

Name: MRS. ANN KOCHANSKI
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 586-773-6022