Organization
HART REHAB SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J HART (PRESIDENT)
(810) 953-0760
Entity
Organization
Contact information
Practice address
3033 GRAND BLANC RD, GRAND BLANC, MI 48439
(810) 953-0760
(810) 953-0833
Mailing address
PO BOX 831, GRAND BLANC, MI 48480-0831
(810) 953-0760
(810) 953-0833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4979429
—
MI
01
—
540B515220
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/26/2006
Last updated
03/15/2011
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