Provider Demographics
NPI:1215026778
Name:D.W.JAMES NURSING CENTER INC
Entity Type:Organization
Organization Name:D.W.JAMES NURSING CENTER INC
Other - Org Name:NON
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-923-8080
Mailing Address - Street 1:722 E GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-2528
Mailing Address - Country:US
Mailing Address - Phone:313-923-8080
Mailing Address - Fax:313-923-8142
Practice Address - Street 1:722 E GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-2528
Practice Address - Country:US
Practice Address - Phone:313-923-8080
Practice Address - Fax:313-923-8142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI834120314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility