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NPI Code Detail

MEDICARE: G & K MANAGEMENT SERVICES, INC.

MEDICARE: G & K MANAGEMENT SERVICES, 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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
209836OTHERMIBCBSM

General Provider Information

NPI Number : 1265439590
Entity Type Code : Organization
Provider Name (Legal Business Name) : G & K MANAGEMENT SERVICES, INC.
Provider Business Mailing Address
First Line : 5201 CONNER ST
Second Line :
City : DETROIT
State : MI
Zip : 48213-3405
Country : US
Telephone Number : 313-571-5555
Fax Number : 313-571-9555
Provider Business Practice Location Address
First Line : 5201 CONNER ST
Second Line :
City : DETROIT
State : MI
Zip : 48213-3405
Country : US
Telephone Number : 313-571-5555
Fax Number : 313-571-9555
Authorized Official
Title or Position : CEO
Name : MR. MOHAMMAD ASHRAF QAZI
Credential :
Telephone Number : 248-386-0300
Provider Enumeration Date : 07/01/2005
Last Update Date : 02/08/2010

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Directions to “G & K MANAGEMENT SERVICES, INC. ” Practice Location

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