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East Grand Nursing Home, Inc.
Nursing Facility/Intermediate Care Facility in Detroit, Michigan
NPI 1184602088

East Grand Nursing Home, Inc. is a Nursing Facility/Intermediate Care Facility based in Detroit, MI. East Grand Nursing Home, Inc. practices in Detroit, MI. The NPI Number for East Grand Nursing Home, Inc. is 1184602088 and holds a License No. 834330 (Michigan).

The current practice location address for East Grand Nursing Home, Inc. is 130 E Grand Blvd, Detroit, MI and can be reached out via phone at 313-824-8224 and via fax at 313-824-8220.

Location: 130 E Grand Blvd, Detroit, MI, 48207-3799
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184602088
Provider Name
East Grand Nursing Home, Inc.
Credential
Provider Entity Type
Organization
Address
130 E Grand Blvd, Detroit, MI, 48207-3799
Phone Number
313-824-8224
Fax Number
313-824-8220
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60 05 MI
2155219 05 MI
23E075 01 MI PROVIDER/SUPPLIER/CLIA ID
834330 01 MI MDCIS/BHS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
130 E Grand Blvd
City
Detroit
State
Michigan
Zip
48207-3799
Phone Number
313-824-8224
Fax Number
313-824-8220
person
Provider Business Mailing Address Details
Address
130 E Grand Blvd
City
Detroit
State
Michigan
Zip
48207-3799
Phone Number
313-824-8224
Fax Number
313-824-8220
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
834330 (Michigan)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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