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Organization

HEARTLAND REHABILITATION SERVICES OF MICHIGAN, LLC

Active
Other names
Heartland Rehabilitation Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization

Contact information

Practice address
1024 S OLD WOODWARD AVE, BIRMINGHAM, MI 48009-6705
(248) 594-4269
(248) 594-7381
Mailing address
3425 EXECUTIVE PKWY, SUITE 128, TOLEDO, OH 43606-1326
(419) 537-0764

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4691580
MI
Enumeration date
02/28/2007
Last updated
04/01/2009
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