Healthcare Provider Details

I. General information

NPI: 1699926022
Provider Name (Legal Business Name): IHM SENIOR LIVING COMMUNITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2008
Last Update Date: 05/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 W ELM AVE
MONROE MI
48162
US

IV. Provider business mailing address

610 W ELM AVE
MONROE MI
48162-7909
US

V. Phone/Fax

Practice location:
  • Phone: 734-241-3660
  • Fax: 734-240-9781
Mailing address:
  • Phone: 734-241-3660
  • Fax: 734-240-9781

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: MS. SHARON ABELA
Title or Position: DIRECTOR OF FINANCIAL SERVICES
Credential:
Phone: 734-240-9747