NPI 1114744653

Canterbury Mi Opco LLC

Organisation Skilled Nursing Facility Waterford, MI

Practice location

Address: 5601 Hatchery Rd, Waterford, MI 48329-3451
Phone: (248) 674-9292
Fax: (248) 674-5344

Authorised official

Name: Jacob Taub
Title: Coo
Phone: (718) 838-1500

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1114744653
Entity type: Organization
NPI issued: 25 Sep 2024
Record last updated: 25 Sep 2024

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.