Organization
AZUL REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEAL JANINE WILKERSON OTR/L (OWNER)
(313) 770-5510
Entity
Organization
Contact information
Practice address
5078 FAIRVIEW ST, DETROIT, MI 48213-3447
(313) 770-5510
(313) 469-9509
Mailing address
20935 ANITA ST, HARPER WOODS, MI 48225-1126
(313) 770-5510
(313) 469-9509
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5201002626
MI
Other
Enumeration date
01/15/2017
Last updated
03/26/2021
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