Healthcare Provider Details

I. General information

NPI: 1326050741
Provider Name (Legal Business Name): MICHIGAN REHAB SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 DUNCKEL RD STE 3
LANSING MI
48910-8311
US

IV. Provider business mailing address

1240 MIZZEN DR
OKEMOS MI
48864-3480
US

V. Phone/Fax

Practice location:
  • Phone: 517-974-3213
  • Fax:
Mailing address:
  • Phone: 517-974-3213
  • Fax: 517-272-0917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SURINDER JIT SINGH
Title or Position: ADMINISTRATOR
Credential: PT
Phone: 517-974-3213