Provider Demographics
NPI:1861618696
Name:REHABILITATION CENTERS OF MICHIGAN
Entity type:Organization
Organization Name:REHABILITATION CENTERS OF MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATIVE COORDNATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-552-1525
Mailing Address - Street 1:28550 SCHOENHERR RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-4329
Mailing Address - Country:US
Mailing Address - Phone:586-552-1525
Mailing Address - Fax:586-552-1535
Practice Address - Street 1:28550 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4329
Practice Address - Country:US
Practice Address - Phone:586-552-1525
Practice Address - Fax:586-552-1535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation