Healthcare Provider Details

I. General information

NPI: 1245293117
Provider Name (Legal Business Name): REHABILITATION INSTITUTE INC REHABILITATION INST OF MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 02/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 MACK AVE
DETROIT MI
48201-2417
US

IV. Provider business mailing address

261 MACK AVE
DETROIT MI
48201-2417
US

V. Phone/Fax

Practice location:
  • Phone: 313-578-2357
  • Fax: 313-578-3964
Mailing address:
  • Phone: 313-578-2357
  • Fax: 313-578-3964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: MS. JANE RUPPMAN
Title or Position: DIRECTOR PM/PA
Credential: DIRECTOR
Phone: 313-578-2357