MEDICARE: ARD HOLDINGS

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

General Provider Information

NPI Number	:	1811343494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARD HOLDINGS

Provider Business Mailing Address
First Line	:	3610 QUENTIN RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 WEBB ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48206-1350
Country	:	US
Telephone Number	:	323-433-1600
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GITTY TREITEL
Credential	:
Telephone Number	:	323-433-1600

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	05/12/2016

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Directions to “ARD HOLDINGS ” Practice Location

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