Organization
GILEAD TRAUMATIC BRAIN & BACK REHAB LLC
Active
Organization
GILEAD TRAUMATIC BRAIN & BACK REHAB LLC
Active
Other names
Gilead Rehab,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLESSEN SAMUEL (CEO)
(713) 391-7000
Entity
Organization
Contact information
Practice address
17330 NORTHLAND PARK CT STE 200, SOUTHFIELD, MI 48075-4318
(313) 335-4010
Mailing address
17330 NORTHLAND PARK CT STE 200A, SOUTHFIELD, MI 48075-4325
(248) 281-4961
(248) 415-6289
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/17/2016
Last updated
04/10/2023
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