NPI 1457311052
Medilodge of Southfield, INC.
Practice location
- Address
- 26715 Greenfield Rd, Southfield, MI 48076-4717
- Phone
- (248) 557-0050
- Mailing address
- 64500 van Dyke Rd, Washington, MI 48095-2583
Authorised official
- Name
- Kathleen Denean
- Title
- Chief Executive Officer
- Phone
- (586) 752-5008
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1457311052
- Entity type
- Organization
- NPI issued
- 27 Mar 2006
- Record last updated
- 29 Jul 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.