# QC REHABILATION CENTER

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

## Provider details

- **NPI number:** 1801135157
- **Authorized official:** MS. CORINA L MALONE (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (313) 574-8205

## Contact information

- **Practice address:** 19953 CONANT ST, DETROIT, MI 48234-1334
- **Practice address phone:** (313) 368-0005
- **Mailing address:** 19953 CONANT ST, DETROIT, MI 48234-1334
- **Mailing address phone:** (313) 368-0005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2013
- **Last updated:** 02/06/2013