Provider Demographics
NPI:1710712054
Name:HEAL REHABILITATION LLC
Entity type:Organization
Organization Name:HEAL REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:AFUF
Authorized Official - Last Name:MAKKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-772-1713
Mailing Address - Street 1:26329 SIMONE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3365
Mailing Address - Country:US
Mailing Address - Phone:313-772-1713
Mailing Address - Fax:
Practice Address - Street 1:20800 SOUTHFIELD RD STE 130
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4238
Practice Address - Country:US
Practice Address - Phone:248-778-2912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy