# HEARTLAND REHABILITATION SERVICES OF MICHIGAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Rehabilitation Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255386090
- **Authorized official:** MR. BARRY A. LAZARUS (VICE PRESIDENT-REIMBURSEMENT)
- **Authorized official phone:** (419) 252-5541

## Contact information

- **Practice address:** 6016 W MAPLE RD, SUITE 705, WEST BLOOMFIELD, MI 48322-4411
- **Practice address phone:** (248) 539-2900
- **Practice address fax:** (248) 539-2901
- **Mailing address:** 333 N SUMMIT ST, SUITE 230, TOLEDO, OH 43604-2615
- **Mailing address phone:** (419) 252-5909
- **Mailing address fax:** (419) 537-0948

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 04/30/2015
