NPI 1083864722
Fountain Bleu Nursing & Rehabilitation Center INC
Practice location
- Address
- 19175 Anglin St, Detroit, MI 48234-1407
- Phone
- (313) 892-3600
- Mailing address
- 25440 5 Mile Rd, Redford, MI 48239-3881
Authorised official
- Name
- Charles a Dunn
- Title
- President
- Phone
- (313) 255-2273
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1083864722
- Entity type
- Organization
- NPI issued
- 30 Sep 2008
- Record last updated
- 30 Sep 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.