MEDICARE: ARDAN, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	63-4400	MI

General Provider Information

NPI Number	:	1184610438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARDAN, INC.

Provider Business Mailing Address
First Line	:	3310 W COMMERCE RD
Second Line	:
City	:	MILFORD
State	:	MI
Zip	:	48380-3100
Country	:	US
Telephone Number	:	248-685-1400
Fax Number	:	248-685-9797

Provider Business Practice Location Address
First Line	:	3310 W COMMERCE RD
Second Line	:
City	:	MILFORD
State	:	MI
Zip	:	48380-3100
Country	:	US
Telephone Number	:	248-685-1400
Fax Number	:	248-685-9797

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DOROTHY LUND
Credential	:
Telephone Number	:	248-651-1400

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	08/22/2020

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