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NPI Code Detail

MEDICARE: SPECIAL TREE REHABILITATION SERVICES LTD

MEDICARE: SPECIAL TREE REHABILITATION SERVICES LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)824330MI

General Provider Information

NPI Number : 1295773281
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIAL TREE REHABILITATION SERVICES LTD
Provider Business Mailing Address
First Line : 16018 S HURON RIVER DR
Second Line :
City : ROMULUS
State : MI
Zip : 48174-3619
Country : US
Telephone Number : 248-951-4042
Fax Number :
Provider Business Practice Location Address
First Line : 10909 HANNAN RD
Second Line :
City : ROMULUS
State : MI
Zip : 48174-1383
Country : US
Telephone Number : 734-893-1000
Fax Number : 734-893-1332
Authorized Official
Title or Position : MEDICAL BILLER
Name : LAKISHA FORD
Credential :
Telephone Number : 248-951-4042
Provider Enumeration Date : 06/03/2006
Last Update Date : 02/04/2022

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Directions to “SPECIAL TREE REHABILITATION SERVICES LTD ” Practice Location

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