Organization Name: | EXCELL REHAB INC |
NPI Number: | 1386690741 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MADHUSAGER MAHINDRU (PRESIDENT) |
Mailing Address: | 29111 Harper Ave St Clair Shores |
State: | MI US |
Postal Code: | 48081 |
Phone Number: | 5867722076 |
Fax Number: | 5867722076 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |