Organization
LEVEL ELEVEN HOWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WILSON (CREDENTIALING MANAGER)
(502) 272-3463
Entity
Organization
Contact information
Practice address
1030 W. HIGHLAND RD, HOWELL, MI 48843
(810) 771-7686
Mailing address
10483 DIXIE HWY, HOLLY, MI 48442-9311
(810) 771-7686
(810) 771-7685
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
09/26/2023
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