Organization
VISITING THERAPIST INC
Active
Organization
VISITING THERAPIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI AL-KHAFAJI (CEO)
(248) 298-0221
Entity
Organization
Contact information
Practice address
28459 DEQUINDRE RD, STE D, MADISON HEIGHTS, MI 48071-3080
(248) 298-0221
(248) 298-0224
Mailing address
28459 DEQUINDRE RD, STE D, MADISON HEIGHTS, MI 48071-3080
(248) 298-0221
(248) 298-0224
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
540F311980
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540F311980
BCBS
MI
05
—
873235904
—
MI
Enumeration date
05/26/2006
Last updated
11/03/2011
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