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Organization
SOUTHFIELD REHABILITATION COMPANY
Active
Organization
SOUTHFIELD REHABILITATION COMPANY
Active
Other names
OAKLAND NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD F. BURKE D.O. (PRESIDENT)
(248) 423-5111
Entity
Organization
Contact information
Practice address
22401 FOSTER WINTER DRIVE, SOUTHFIELD, MI 48075-3724
(248) 423-5100
(248) 423-5195
Mailing address
PO BOX 674073, DETROIT, MI 48267-4073
(586) 582-0864
(586) 576-0393
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
634550
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027879
MIDWEST HEALTH PLAN
MI
01
—
09560
BLUE CROSS BLUE SHIELD
MI
01
—
1031384
MCLAREN HEALTH PLAN
MI
01
—
135598503
U.S. DEPARTMENT OF LABOR
MI
05
—
289797960
—
MI
01
—
34692
HEALTH PLAN OF MICHIGAN
MI
05
—
602897979
—
MI
01
—
6330390
AETNA
MI
Enumeration date
11/09/2005
Last updated
01/26/2011
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