Provider Demographics
NPI:1508298852
Name:ASHLEY COURT OF BRIGHTON INC.
Entity Type:Organization
Organization Name:ASHLEY COURT OF BRIGHTON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-622-0074
Mailing Address - Street 1:125 W ELLSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2206
Mailing Address - Country:US
Mailing Address - Phone:734-622-0074
Mailing Address - Fax:
Practice Address - Street 1:7400 CHALLIS RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-9480
Practice Address - Country:US
Practice Address - Phone:734-622-0074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECIOUS ART INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAL470092982311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)