Organization
MARINA REHABILITATION AND HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR HANNA (OWNER)
(248) 650-1984
Entity
Organization
Contact information
Practice address
1050 W UNIVERSITY DR, SUITE 3, ROCHESTER, MI 48307-1877
(248) 650-1984
Mailing address
1050 W UNIVERSITY DR, SUITE 3, ROCHESTER, MI 48307-1877
(248) 650-1984
(248) 650-1994
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5501005736
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460114387
—
MI
01
—
540F322220
BCBS DME
MI
Enumeration date
06/29/2006
Last updated
10/25/2010
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