Provider Demographics
NPI:1093872111
Name:ST. JOHN HEALTH
Entity Type:Organization
Organization Name:ST. JOHN HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMPREHENSIVE REHAB
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-499-4671
Mailing Address - Street 1:7633 E. JEFFERSON
Mailing Address - Street 2:SUITE 170
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214
Mailing Address - Country:US
Mailing Address - Phone:313-499-4262
Mailing Address - Fax:313-499-4878
Practice Address - Street 1:7633 E. JEFFERSON
Practice Address - Street 2:SUITE 170
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214
Practice Address - Country:US
Practice Address - Phone:313-499-4262
Practice Address - Fax:313-499-4878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy