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Organization

HEARTLAND REHABILITATION SERVICES OF MICHIGAN, LLC

Active
Other names
Heartland Rehabilitation Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BARRY A. LAZARUS (VICE PRESIDENT-REIMBURSEMENT)
(419) 252-5541
Entity
Organization

Contact information

Practice address
6016 W MAPLE RD, SUITE 705, WEST BLOOMFIELD, MI 48322-4411
(248) 539-2900
(248) 539-2901
Mailing address
333 N SUMMIT ST, SUITE 230, TOLEDO, OH 43604-2615
(419) 252-5909
(419) 537-0948

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4691580
MI
Enumeration date
05/23/2006
Last updated
04/30/2015
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