Organization
ACTIVE REHABILITATION
Active
Other names
Active Healthcare Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIAS SALIM KABBAN ATC (OWNER)
(989) 269-2700
Entity
Organization
Contact information
Practice address
944 LAKEVIEW DR, HARBOR BEACH, MI 48441-8902
(989) 479-6200
Mailing address
944 LAKEVIEW DR, HARBOR BEACH, MI 48441-8902
(989) 479-6200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
972766
ATC
MI
Enumeration date
08/30/2006
Last updated
12/05/2011
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