# CHAMPIONS FOREVER, LLC

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

## Provider details

- **NPI number:** 1215760905
- **Authorized official:** ANTHONY BRUCE MCNEAL (DIRECTOR)
- **Authorized official phone:** (248) 864-8860

## Contact information

- **Practice address:** 24355 W 10 MILE RD, SOUTHFIELD, MI 48033-2929
- **Practice address phone:** (248) 864-8860
- **Practice address fax:** (248) 281-6905
- **Mailing address:** PO BOX 2819, SOUTHFIELD, MI 48037-2819
- **Mailing address phone:** (248) 864-8860
- **Mailing address fax:** (248) 281-6905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2024
- **Last updated:** 09/10/2024