MEDICARE: U.S. REHABILITATION AND HEALTH SERVICE, 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
1	261QR0400X	Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30714	OTHER	MI	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1942374772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	U.S. REHABILITATION AND HEALTH SERVICE, INC

Provider Business Mailing Address
First Line	:	34815 W MICHIGAN AVE
Second Line	:	SUITE D
City	:	WAYNE
State	:	MI
Zip	:	48184-1799
Country	:	US
Telephone Number	:	734-729-9300
Fax Number	:	734-729-9304

Provider Business Practice Location Address
First Line	:	34815 W MICHIGAN AVE
Second Line	:	SUITE D
City	:	WAYNE
State	:	MI
Zip	:	48184-1799
Country	:	US
Telephone Number	:	734-729-9300
Fax Number	:	734-729-9304

Authorized Official
Title or Position	:	ADMINISTRATOR & OWNER
Name	:	MR. SALMAN ALI
Credential	:	P.T.
Telephone Number	:	734-722-9931

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	12/07/2009

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