Healthcare Provider Details
I. General information
NPI: 1598763385
Provider Name (Legal Business Name): TRI-COUNTY THERAPY CENTER, LLC DBA VALLEY HILL THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
43456 MOUND RD SUITE 500
STERLING HEIGHTS MI
48314-2080
US
IV. Provider business mailing address
43456 MOUND RD SUITE 500
STERLING HEIGHTS MI
48314-2080
US
V. Phone/Fax
- Phone: 586-731-2233
- Fax: 586-731-2244
- Phone: 586-731-2233
- Fax: 586-731-2244
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANETTE
ZICHI
PHILLIPS
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 586-731-2233