| NPI | 1467638494 |
|---|---|
| Doing Business As | HICKORY RIDGE OF TEMPERANCE |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ASHRAF QAZI CEO 248-386-0300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2009-10-29 |