Organization
4 UR RECOVERY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA FAYAD (OWNER)
(313) 551-3316
Entity
Organization
Contact information
Practice address
19201 WARREN ST, DETROIT, MI 48228
(248) 327-6766
(248) 996-8457
Mailing address
P.O. BOX 7459, DEARBORN, MI 48121
(313) 899-0498
(248) 996-8457
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
06/11/2020
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