Organization
CENTER FOR ACTIVE DAILY LIVING
Active
Other names
Essence Institute & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA RANDOLPH M.D. (MEDICAL DIRECTOR)
(734) 744-8200
Entity
Organization
Contact information
Practice address
36939 SCHOOLCRAFT RD, LIVONIA, MI 48150-1162
(734) 744-8200
(734) 902-6082
Mailing address
36939 SCHOOLCRAFT RD, LIVONIA, MI 48150-1162
(734) 744-8200
(734) 902-6082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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