Healthcare Provider Details

I. General information

NPI: 1356341234
Provider Name (Legal Business Name): TALLAHASSE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 ARMSTRONG RD
LANSING MI
48911-3906
US

IV. Provider business mailing address

4000 TOWN CTR STE 2000
SOUTHFIELD MI
48075-1415
US

V. Phone/Fax

Practice location:
  • Phone: 517-393-5680
  • Fax: 517-393-8311
Mailing address:
  • Phone: 248-386-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number334110
License Number StateMI

VIII. Authorized Official

Name: MOHAMMAD A QAZI
Title or Position: PRESIDENT
Credential:
Phone: 248-386-0300