# STAR REHAB. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568714731
- **Authorized official:** MR. ASHFAQ AHMED B.SC. RPT (PRESIDENT)
- **Authorized official phone:** (248) 443-7202

## Contact information

- **Practice address:** 15565 NORTHLAND DR., SUITE 205 E., SOUTHFIELD, MI 48075
- **Practice address phone:** (248) 443-7202
- **Practice address fax:** (248) 443-7232
- **Mailing address:** 15565 NORTHLAND DR., SUITE. 205 E., SOUTHFIELD, MI 48075
- **Mailing address phone:** (248) 443-7202
- **Mailing address fax:** (248) 443-7232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 225100000X | MI | Yes |

## Other

- **Enumeration date:** 10/11/2012
- **Last updated:** 10/11/2012