# CC REHAB

> 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:** SPECIAL TREE, LTD.
- **Other names:** CC Rehab
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205395654
- **Legal business name:** SPECIAL TREE, LTD.
- **Authorized official:** CHARLENE COMBS OTR/L (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (840) 444-5555

## Contact information

- **Practice address:** 502 S LEROY ST, FENTON, MI 48430-2252
- **Practice address phone:** (810) 444-5555
- **Mailing address:** 39000 CHASE ST, ROMULUS, MI 48174-1303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2019
- **Last updated:** 03/15/2019