Healthcare Provider Details

I. General information

NPI: 1033284112
Provider Name (Legal Business Name): BROE REHABILITATION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33634 W 8 MILE RD
FARMINGTON HILLS MI
48335-5202
US

IV. Provider business mailing address

33634 W 8 MILE RD
FARMINGTON HILLS MI
48335-5202
US

V. Phone/Fax

Practice location:
  • Phone: 248-474-2763
  • Fax: 248-476-4990
Mailing address:
  • Phone: 248-474-2763
  • Fax: 248-476-4990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateMI

VIII. Authorized Official

Name: ANN ELISABETH MANNING
Title or Position: VICE PRESIDENT COMMUNITY RELATIONS
Credential: B.S., C.B.I.S.
Phone: 248-474-2763