Organization
K & L CORF LLC
Active
Other names
KALAMAZOO REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONN A LATOUR (PRESIDENT AND MEMBER)
(269) 327-7075
Entity
Organization
Contact information
Practice address
2340 E CENTRE AVE, PORTAGE, MI 49002-4465
(269) 327-7075
(269) 327-7196
Mailing address
PO BOX 2565, PORTAGE, MI 49081-2565
(269) 373-8878
(269) 373-4720
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30353
BLUE CROSS BLUE SHEILD
MI
01
—
6430007
UNITED HEALTH CARE
—
Enumeration date
12/06/2006
Last updated
09/11/2025
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