Healthcare Provider Details
I. General information
NPI: 1871805150
Provider Name (Legal Business Name): VHS REHABILITATION INSTITUTE OF MICHIGAN INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2010
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
261 MACK AVE
DETROIT MI
48201-2417
US
IV. Provider business mailing address
20 BURTON HILLS BLVD STE 100 ATTENTION: CAROL BAILEY
NASHVILLE TN
37215-6409
US
V. Phone/Fax
- Phone: 313-745-1160
- Fax:
- Phone: 615-665-6000
- Fax: 615-665-6184
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283X00000X |
| Taxonomy | Rehabilitation Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
BABB
Title or Position: CFO
Credential:
Phone: 313-993-0033