Healthcare Provider Details

I. General information

NPI: 1578667754
Provider Name (Legal Business Name): MED REHAB SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32290 W 5 MILE RD SUITE A
LIVONIA MI
48154
US

IV. Provider business mailing address

32290 W 5 MILE RD SUITE A
LIVONIA MI
48154
US

V. Phone/Fax

Practice location:
  • Phone: 248-203-6636
  • Fax: 248-203-6634
Mailing address:
  • Phone: 248-203-6636
  • Fax: 248-203-6634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TOMS MATHEW
Title or Position: OWNER
Credential: PT
Phone: 248-203-6636