# KINGDOM REHABILATATION GROUP

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

## Provider details

- **NPI number:** 1386062586
- **Authorized official:** DORENEA BYRD (CHEIF EXECUTIVE OFFICER)
- **Authorized official phone:** (248) 633-8511

## Contact information

- **Practice address:** 2000 TOWN CTR, 1900, SOUTHFIELD, MI 48075-1135
- **Practice address phone:** (248) 633-8511
- **Practice address fax:** (313) 864-7701
- **Mailing address:** 2000 TOWN CTR, 1900, SOUTHFIELD, MI 48075-1135
- **Mailing address phone:** (248) 633-8511
- **Mailing address fax:** (313) 864-7701

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2014
- **Last updated:** 04/03/2014