Organization
VIVID IDEA REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEXTER A MITCHELL SR. (CEO)
(989) 239-2376
Entity
Organization
Contact information
Practice address
2101 WEST STOKER DR, SAGINAW, MI 48604
(989) 239-2376
Mailing address
2101 W STOKER DR, SAGINAW, MI 48604-2441
(989) 239-2376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
10/25/2011
Last updated
07/21/2022
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