| NPI | 1194355008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESRAA MOUSA Owner 313-715-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 314000000X Skilled Nursing Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2025-07-17 |