Organization
B AND C REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE BAUMGART (OWNER)
(269) 344-3066
Entity
Organization
Contact information
Practice address
2615 HILL AN BROOK DR, PORTAGE, MI 49024-5620
(269) 344-3066
Mailing address
2615 HILL AN BROOK DR, PORTAGE, MI 49024-5620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003233
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650C913250
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
09/28/2006
Last updated
11/25/2014
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