| Organization Name: | IN HOME REHAB OF DICKINSON COUNTY |
| NPI Number: | 1487604203 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL L CARLSON (OWNER) |
| Mailing Address: | W3101 Ridgecrest Dr Vulcan |
| State: | MI US |
| Postal Code: | 498928290 |
| Phone Number: | 9065638920 |
| Fax Number: | 9065638942 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 07/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |