Organization
GENERAL REHAB MANAGEMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK F. MOORES JR. (PRESIDENT/CEO)
(734) 459-1800
Entity
Organization
Contact information
Practice address
38253 ANN ARBOR RD, LIVONIA, MI 48150-3432
(734) 632-0330
(734) 632-0233
Mailing address
PO BOX 702880, PLYMOUTH, MI 48170-0988
(734) 459-1800
(734) 459-3831
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30389
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/28/2006
Last updated
08/22/2020
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