Organization
KINGDOM REHABILATATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORENEA BYRD (CHEIF EXECUTIVE OFFICER)
(248) 633-8511
Entity
Organization
Contact information
Practice address
2000 TOWN CTR, 1900, SOUTHFIELD, MI 48075-1135
(248) 633-8511
(313) 864-7701
Mailing address
2000 TOWN CTR, 1900, SOUTHFIELD, MI 48075-1135
(248) 633-8511
(313) 864-7701
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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