Organization
NETCARE REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAIWO OGUNLEYE PT (CEO/PRESIDENT)
(313) 590-2332
Entity
Organization
Contact information
Practice address
7140 PEBBLE PARK DR, W BLOOMFIELD, MI 48322-3505
(313) 590-2332
Mailing address
7140 PEBBLE PARK DR, W BLOOMFIELD, MI 48322-3505
(313) 590-2332
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TO006445
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P02860001
MEDICARE GRP UPIN NO
MI
Enumeration date
06/08/2006
Last updated
08/22/2020
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