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NPI Code Detail

MEDICARE: CBI REHABILITATION SERVICES, INC.

MEDICARE: CBI REHABILITATION SERVICES, INC.
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
1320700000XPhysical Disabilities Residential Treatment FacilityAS330294925MI
2320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityAS330294925MI

General Provider Information

NPI Number : 1851786263
Entity Type Code : Organization
Provider Name (Legal Business Name) : CBI REHABILITATION SERVICES, INC.
Provider Business Mailing Address
First Line : 3446 E LAKE LANSING RD
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-1511
Country : US
Telephone Number : 517-349-6975
Fax Number :
Provider Business Practice Location Address
First Line : 3446 E LAKE LANSING RD
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-1511
Country : US
Telephone Number : 517-349-6975
Fax Number :
Authorized Official
Title or Position : AGENCY DIRECTOR
Name : ROBERT E. PILON
Credential : LMSW
Telephone Number : 517-349-6975
Provider Enumeration Date : 04/02/2015
Last Update Date : 04/02/2015

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