MEDICARE: REHABILITATION ONE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1487686077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION ONE INC

Provider Business Mailing Address
First Line	:	22720 MICHIGAN AVE STE 103
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2035
Country	:	US
Telephone Number	:	313-792-9330
Fax Number	:	313-277-7599

Provider Business Practice Location Address
First Line	:	22720 MICHIGAN AVE STE 103
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2035
Country	:	US
Telephone Number	:	313-792-9330
Fax Number	:	313-277-7599

Authorized Official
Title or Position	:	OWNER ADMINISTRATOR
Name	:	HAANEI SHWEHDI
Credential	:
Telephone Number	:	313-792-9330

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	06/10/2024

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Directions to “REHABILITATION ONE INC ” Practice Location

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