# LANDERS REHABILITATION SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LANDERS & LANDERS HOME FOR THE AGED INC
- **Other names:** Landers Rehabitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184159030
- **Legal business name:** LANDERS & LANDERS HOME FOR THE AGED INC
- **Authorized official:** MRS. NICHOLE A LANDERS (PRESIDENT)
- **Authorized official phone:** (313) 213-2916

## Contact information

- **Practice address:** 25695 MULBERRY DR, SOUTHFIELD, MI 48033-2777
- **Practice address phone:** (248) 905-3985
- **Practice address fax:** (248) 281-3476
- **Mailing address:** 25695 MULBERRY DR, PO BOX 33202 BLOOMFIELD HILLS, SOUTHFIELD, MI 48033-2777
- **Mailing address phone:** (248) 905-3985
- **Mailing address fax:** (248) 281-3476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |
| 310400000X | Assisted Living Facility | AS630385934 | MI | — |
| 311ZA0620X | Adult Care Home Facility | AS630385934 | MI | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | AS630385934 | MI | — |

## Other

- **Enumeration date:** 04/28/2017
- **Last updated:** 04/28/2017