# HENRY FORD VILLAGE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OUTPATIENT REHAB AGENCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437197217
- **Authorized official:** MR. LAWRENCE A. VIDOVIC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (313) 846-7142

## Contact information

- **Practice address:** 15101 FORD RD, DEARBORN, MI 48126-4611
- **Practice address phone:** (313) 846-7142
- **Mailing address:** 15101 FORD RD, DEARBORN, MI 48126-4611
- **Mailing address phone:** (313) 846-7142

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 08/13/2009