NPI 1104903590
Redford Geriatric Village, INC
Practice location
- Address
- 22811 W 7 Mile Rd, Detroit, MI 48219-1739
- Phone
- (313) 543-1440
- Fax
- (313) 534-0643
- Mailing address
- 11700 E 10 Mile Rd, Warren, MI 48089-3903
Authorised official
- Name
- Donald James Bortz
- Title
- President
- Phone
- (586) 759-5966
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1104903590
- Entity type
- Organization
- NPI issued
- 1 Nov 2006
- Record last updated
- 28 Apr 2011
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.