Healthcare Provider Details

I. General information

NPI: 1033719331
Provider Name (Legal Business Name): MICHIGAN HEALTH & REHABILITATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 05/27/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26900 FRANKLIN RD
SOUTHFIELD MI
48033-5312
US

IV. Provider business mailing address

25500 MEADOWBROOK RD STE 255
NOVI MI
48375-2005
US

V. Phone/Fax

Practice location:
  • Phone: 248-301-6300
  • Fax: 248-366-9198
Mailing address:
  • Phone: 248-366-8839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAWN DESROSIERS
Title or Position: PRESIDENT
Credential: M.A., CCC-SLP, QCP
Phone: 248-366-8839