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NPI Code Detail

MEDICARE: REABILITY HEALTH PLLC

MEDICARE: REABILITY HEALTH PLLC
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
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1497644405
Entity Type Code : Organization
Provider Name (Legal Business Name) : REABILITY HEALTH PLLC
Provider Business Mailing Address
First Line : 625 KENMOOR AVE SE STE 350
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-2395
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 RENAISSANCE CTR STE 2600
Second Line :
City : DETROIT
State : MI
Zip : 48243-1599
Country : US
Telephone Number : 810-841-9077
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : WARIS HUSSAIN
Credential : MD
Telephone Number : 810-841-9077
Provider Enumeration Date : 07/02/2025
Last Update Date : 03/02/2026

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