# PRIME REHAB SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime Rehab Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932106945
- **Authorized official:** MRS. QURATULANN MOGHUL-PLEMONS P.T. (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (248) 681-0854

## Contact information

- **Practice address:** 2590 ELIZABETH LAKE RD, WATERFORD, MI 48328-3314
- **Practice address phone:** (248) 681-0854
- **Mailing address:** 33341 DEQUINDRE, SUITE C, TROY, MI 48083-4630
- **Mailing address phone:** (248) 588-1388
- **Mailing address fax:** (248) 543-5205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 12/08/2022