NPI | 1184159030 |
---|---|
Former Legal Business Name | LANDERS REHABITATION |
Entity Type | Organization |
Authorized Contact | NICHOLE A LANDERS President 313-213-2916 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MI AS630385934) |
311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS630385934) | |
320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI AS630385934) | |
Enumeration Date | 2017-04-28 |
Last Update Date | 2017-04-28 |