Organization
GILEAD REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLESSEN SAMUEL PT (MANAGER)
(313) 335-4010
Entity
Organization
Contact information
Practice address
17330 NORTHLAND PARK CT STE 200A, SOUTHFIELD, MI 48075-4325
(313) 335-4010
Mailing address
17330 NORTHLAND PARK CT STE 200A, SOUTHFIELD, MI 48075-4325
(313) 335-4010
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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