Organization
SOUTHFIELD REHABILITATION COMPANY
Active
Other names
OAKLAND NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD F. BURKE D.O. (PRESIDENT)
(248) 423-5111
Entity
Organization
Contact information
Practice address
22401 FOSTER WINTER DRIVE, SOUTHFIELD, MI 48075-3724
(248) 423-5100
(248) 423-5195
Mailing address
PO BOX 674073, DETROIT, MI 48267-4073
(586) 582-0864
(586) 576-0393
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
634550
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027879
MIDWEST HEALTH PLAN
MI
01
—
09560
BLUE CROSS BLUE SHIELD
MI
01
—
1031384
MCLAREN HEALTH PLAN
MI
01
—
135598503
U.S. DEPARTMENT OF LABOR
MI
05
—
289797960
—
MI
01
—
34692
HEALTH PLAN OF MICHIGAN
MI
05
—
602897979
—
MI
01
—
6330390
AETNA
MI
Enumeration date
11/09/2005
Last updated
01/26/2011
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