Organization
SACRED HEART REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAULA NELSON (PRESIDENT/CEO)
(810) 392-2167
Entity
Organization
Contact information
Practice address
28303 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3040
(248) 658-1116
(248) 658-1120
Mailing address
1400 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2651
(810) 392-2167
(810) 392-3530
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
631337
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA631337
LICENSE
MI
Enumeration date
10/18/2010
Last updated
10/21/2019
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