# MAGNUM REHABILITATION SERVICES, LLC

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

## Provider details

- **NPI number:** 1780850529
- **Authorized official:** NORMA JEAN BARRETT (MANAGER)
- **Authorized official phone:** (734) 730-7579

## Contact information

- **Practice address:** 20526 PLYMOUTH RD STE B, DETROIT, MI 48228-1273
- **Practice address phone:** (734) 730-7579
- **Mailing address:** 20526 PLYMOUTH RD STE B, DETROIT, MI 48228-1273
- **Mailing address phone:** (734) 730-7579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301063440 | MI | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 05/01/2008