# FUNCTIONAL REHAB SERVICES PC

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

## Provider details

- **NPI number:** 1699829119
- **Authorized official:** MUNIFA MOHIBI (ADMINISTRATOR PT)
- **Authorized official phone:** (989) 921-1132

## Contact information

- **Practice address:** 2575 MCLEOD DR N, SUITE B, SAGINAW, MI 48604-2857
- **Practice address phone:** (989) 921-1132
- **Mailing address:** 2575 MCLEOD DR N, SUITE B, SAGINAW, MI 48604-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 02952C | MI | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 10/25/2013