Provider Demographics
NPI:1033284112
Name:BROE REHABILITATION SERVICES, INC.
Entity Type:Organization
Organization Name:BROE REHABILITATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT COMMUNITY RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CBIS
Authorized Official - Phone:248-474-2763
Mailing Address - Street 1:33634 W 8 MILE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-5202
Mailing Address - Country:US
Mailing Address - Phone:248-474-2763
Mailing Address - Fax:248-476-4990
Practice Address - Street 1:33634 W 8 MILE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-5202
Practice Address - Country:US
Practice Address - Phone:248-474-2763
Practice Address - Fax:248-476-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI320800000X, 320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness