Organization Name: | SPECIAL TREE REHABILITATION SERVICES LTD |
NPI Number: | 1295773281 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH C RICHERT (PRESIDENT / CEO) |
Mailing Address: | 39000 Chase St Romulus |
State: | MI US |
Postal Code: | 481741303 |
Phone Number: | 7349411142 |
Fax Number: | 7349417522 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | 824330 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |