# MICHIGAN HOME REHABILITATION L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** At Home Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447774674
- **Authorized official:** ROBERT DOSS (PRESIDENT)
- **Authorized official phone:** (616) 827-7715

## Contact information

- **Practice address:** 501 BALDWIN ST STE 203, JENISON, MI 49428-6904
- **Practice address phone:** (800) 880-9715
- **Practice address fax:** (888) 830-2614
- **Mailing address:** 501 BALDWIN ST STE 203, JENISON, MI 49428-6904
- **Mailing address phone:** (800) 880-7715
- **Mailing address fax:** (888) 830-2614

## Taxonomy

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

## Other

- **Enumeration date:** 07/31/2017
- **Last updated:** 12/22/2021