Prime Rehab Services, INC.
Clinic/Center, Rehabilitation in Waterford, MI. Organization (NPI-2).
NPI number1932106945
StatusActive
Last updated in NPPESDec 8, 2022
Details
- NPI
- 1932106945
- Entity type
- Organization (NPI-2)
- Legal business name
- Prime Rehab Services, INC.
- Organization subpart
- No
- Enumeration date
- Jul 5, 2005
- Certification date
- Dec 8, 2022
- Last updated
- Dec 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Other names
- Prime Rehab Services (Doing Business As)
Practice location
2590 Elizabeth Lake RdWaterford, MI 48328-3314
Phone 248-681-0854
Mailing address
33341 DequindreSuite C
Troy, MI 48083-4630
Phone 248-588-1388 · Fax 248-543-5205
Authorized official
Quratulann Moghul-Plemons
Administrator/Owner
2486810854
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