Organization
MAPLE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAM KANCHARLA (MEMBER)
(248) 228-4115
Entity
Organization
Contact information
Practice address
100 W KIRBY ST, SUITE 302, DETROIT, MI 48202-4044
(248) 228-4115
Mailing address
100 W KIRBY ST, SUITE 302, DETROIT, MI 48202-4044
(248) 228-4115
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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