Organization
PORT HURON THERAPY CENTER LLC
Active
Other names
Midwest Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD ZAFAR (PRESIDENT / CEO)
(810) 385-9808
Entity
Organization
Contact information
Practice address
34051 GRATIOT AVE, SUITE 103, CLINTON TOWNSHIP, MI 48035-3592
(810) 385-9808
(586) 415-7800
Mailing address
34051 GRATIOT AVE, SUITE 103, CLINTON TOWNSHIP, MI 48035-3592
(810) 385-9808
(586) 415-7800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
385H00000X
Respite Care
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137801
CARE CHOICES PPO
MI
05
—
142585
—
MI
01
—
234528
HEALTH ALLIANCE PLAN
MI
05
—
30322
—
MI
01
—
30426
BLUE CROSS BLUE SHIELD
MI
05
—
4704356
—
MI
01
—
5135045
CIGNA PPO
MI
Enumeration date
05/19/2006
Last updated
01/30/2013
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