Organization
MICHIGAN HEALTH SOURCE FACILITIES LLC
Active
Organization
MICHIGAN HEALTH SOURCE FACILITIES LLC
Active
Other names
Madison Heights PT Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA LITTLE (ADMINISTRATOR)
(248) 894-8248
Entity
Organization
Contact information
Practice address
28075 JOHN R RD, MADISON HEIGHTS, MI 48071-2809
(248) 548-3445
Mailing address
PO BOX 71162, ROCHESTER HILLS, MI 48307-0022
(248) 894-8248
(888) 338-9319
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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