Organization
SOUTHFIELD REHABILITION COMPANY
Active
Other names
Oakland Regional Macomb Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD F. BURKE D.O. (PRESIDENT)
(248) 423-5111
Entity
Organization
Contact information
Practice address
11012 E 13 MILE RD, SUITE 112A, WARREN, MI 48093-2572
(586) 751-9800
(586) 751-9818
Mailing address
22401 FOSTER WINTER DRIVE, SOUTHFIELD, MI 48075-3724
(248) 423-5100
(248) 423-5195
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
50-6840
MI
282N00000X
General Acute Care Hospital
Primary
50-6840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E021830
BCBS/BCN
MI
Enumeration date
01/29/2009
Last updated
03/01/2012
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