Organization
MICHIGAN INTEGRATED DAY & HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE MCCOLLUM (DELEGATED OFFICIAL)
(734) 837-1048
Entity
Organization
Contact information
Practice address
3249 HILTON RD., FERNDALE, MI 48220
(248) 981-4195
Mailing address
3249 HILTON RD., FERNDALE, MI 48220
(248) 981-4195
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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