Organization
FERNDALE REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG SONG D.C (SOLE MEMBER)
(248) 709-2447
Entity
Organization
Contact information
Practice address
22540 WOODWARD AVE, FERNDALE, MI 48220-1841
(248) 399-9355
(248) 399-8644
Mailing address
22540 WOODWARD AVE, FERNDALE, MI 48220-1841
(248) 399-9355
(248) 399-8644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207R00000X
Internal Medicine Physician
5101020062
MI
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/24/2015
Last updated
07/13/2015
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