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Organization
SUPREME REHAB INC
Active
Organization
SUPREME REHAB INC
Active
Other names
SUPREME HOME CARE AND REHAB INC
Organization subpart
No
Provider details
NPI number
Authorized official
NASEEM AHMED KHAN (OWNER / ADMINISTRATOR)
(248) 214-1234
Entity
Organization
Contact information
Practice address
29930 W 12 MILE RD STE 3, FARMINGTON HILLS, MI 48334-3983
(248) 862-2512
(248) 862-2145
Mailing address
29930 W 12 MILE RD STE 3, FARMINGTON HILLS, MI 48334-3983
(248) 862-2512
(248) 862-2145
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
638089
MI
332B00000X
Durable Medical Equipment & Medical Supplies
4105160001
MI
Other
Enumeration date
11/17/2006
Last updated
04/16/2022
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