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Organization
SOUTHFIELD REHABILITION COMPANY
Active
Organization
SOUTHFIELD REHABILITION COMPANY
Active
Other names
Oakland Regional Macomb 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
11012 E 13 MILE RD, SUITE 112A, WARREN, MI 48093-2572
(586) 751-9800
(586) 751-9818
Mailing address
22401 FOSTER WINTER DRIVE, SOUTHFIELD, MI 48075-3724
(248) 423-5100
(248) 423-5195
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
50-6840
MI
282N00000X
General Acute Care Hospital
Primary
50-6840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E021830
BCBS/BCN
MI
Enumeration date
01/29/2009
Last updated
03/01/2012
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