| NPI | 1699978460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA MADAN SARIN Ot/R 734-576-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 5501005354) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 5201001674) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-01-15 |