NORTHWEST PARTNERS, LLC
Skilled Nursing Facility
Detroit, Michigan
Provider NPI: 1720081094
Organization Information:Organization Name: NORTHWEST PARTNERS, LLC
Practice Location:
21630 HESSEL AVE DETROIT, MI 48219 US
Tel: 313-534-8400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
21630 HESSEL AVE DETROIT, MI 48219 US
Tel: 313-534-8400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MI | 83-4670 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS BLUE SHIELD MI | S9561 | MI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin