Organization
REVIVE REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE BAZZI (OWNER)
(313) 995-6788
Entity
Organization
Contact information
Practice address
2118 S WAYNE RD, WESTLAND, MI 48186-5428
(313) 995-6788
Mailing address
2118 S WAYNE RD, WESTLAND, MI 48186-5428
(313) 995-6788
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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