# AZUL REHAB SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205372240
- **Authorized official:** TEAL JANINE WILKERSON OTR/L (OWNER)
- **Authorized official phone:** (313) 770-5510

## Contact information

- **Practice address:** 5078 FAIRVIEW ST, DETROIT, MI 48213-3447
- **Practice address phone:** (313) 770-5510
- **Practice address fax:** (313) 469-9509
- **Mailing address:** 20935 ANITA ST, HARPER WOODS, MI 48225-1126
- **Mailing address phone:** (313) 770-5510
- **Mailing address fax:** (313) 469-9509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 5201002626 | MI | Yes |

## Other

- **Enumeration date:** 01/15/2017
- **Last updated:** 03/26/2021