Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boulevard Manor LLC

Organization Skilled Nursing Facility · NPI 1063712586

Boulevard Manor LLC is a Skilled Nursing Facility in Detroit, Michigan. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

464 E Grand Blvd
Detroit, MI 48207-3637
Phone: (313) 579-2255
Fax: (313) 579-5756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1063712586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fahim Uddin — Authorized Member · (313) 579-2255
NPI enumeratedNovember 1, 2010
Last updated in NPPESApril 20, 2011
Mailing address2920 Oakwood Blvd, Suite B, Melvindale, MI 48122-1244

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