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NPI Code Detail

MEDICARE: RHEMA WARREN OPERATING LLC

MEDICARE: RHEMA WARREN OPERATING LLC
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 Facility50401MI

General Provider Information

NPI Number : 1386183671
Entity Type Code : Organization
Provider Name (Legal Business Name) : RHEMA WARREN OPERATING LLC
Provider Business Mailing Address
First Line : 25800 NORTHWESTERN HWY
Second Line : SUITE 720
City : SOUTHFIELD
State : MI
Zip : 48075-8403
Country : US
Telephone Number : 248-569-8400
Fax Number : 248-569-5070
Provider Business Practice Location Address
First Line : 12250 E 12 MILE RD
Second Line :
City : WARREN
State : MI
Zip : 48093-3516
Country : US
Telephone Number : 586-751-6200
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : KELSEY HASTINGS
Credential :
Telephone Number : 248-569-8400
Provider Enumeration Date : 02/20/2017
Last Update Date : 02/20/2017

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Directions to “RHEMA WARREN OPERATING LLC ” Practice Location

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