Organization
SEASONS OF CHANGE CORF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE MCCOLLUM (AUTHORIZED OFFICIAL)
(734) 837-1048
Entity
Organization
Contact information
Practice address
27200 LAHSER RD, SOUTHFIELD, MI 48034-2137
(248) 208-9215
Mailing address
27200 LAHSER RD, SOUTHFIELD, MI 48034-2137
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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