| 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 |