CCLA9, LLC

Skilled Nursing Facility

Active Organization
NPI: 1790030690

Practice Address

7733 E JEFFERSON AVE
Detroit, MI 48214

Phone: (248) 385-0559

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes -

Frequently Asked Questions

NPI 1790030690 is the National Provider Identifier for CCLA9, LLC, a Skilled Nursing Facility provider located in Detroit, MI. This NPI was enumerated on July 17, 2012.

Quick Facts

NPI
1790030690
Type
Organization
Enumerated
Jul 17, 2012
Last Updated
Jan 14, 2025

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