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Organization
GOLDEN TRIANGLE REHAB INC
Active
Organization
GOLDEN TRIANGLE REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA KAMAL ASMAR (ADMINISTRATOR OWNER)
(619) 402-7927
Entity
Organization
Contact information
Practice address
28051 DEQUINDRE RD STE D, MADISON HEIGHTS, MI 48071-3016
(248) 733-5442
(248) 963-6214
Mailing address
28051 DEQUINDRE RD STE D, MADISON HEIGHTS, MI 48071-3016
(248) 733-5442
(248) 963-6214
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30438
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/26/2006
Last updated
06/02/2022
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