Healthcare Provider Details
I. General information
NPI: 1578560637
Provider Name (Legal Business Name): INTERNATIONAL HEALTH CARE PROPERTIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2005
Last Update Date: 06/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8633 MAIN ST
WHITMORE LAKE MI
48189-9248
US
IV. Provider business mailing address
8633 MAIN ST
WHITMORE LAKE MI
48189-9248
US
V. Phone/Fax
- Phone: 734-449-4431
- Fax: 734-449-4644
- Phone: 734-449-4431
- Fax: 734-449-4644
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MOHAMMAD
ASHRAF
QAZI
Title or Position: CEO
Credential:
Phone: 248-386-0300