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Organization

COMPLETE REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALI M RATHUR (CCO)
(248) 649-3755
Entity
Organization

Contact information

Practice address
16655 15 MILE RD, SUITE B, CLINTON TOWNSHIP, MI 48035
(586) 792-0970
Mailing address
1380 COOLIDGE HWY STE L50, TROY, MI 48084-7069
(248) 649-3755

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
236641
HAP
01
30660
BCBS MI
01
7436128
AETNA
Enumeration date
08/23/2005
Last updated
08/22/2018
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