Provider Demographics
NPI:1235271776
Name:PLEASANT REHAB SERVICES, INC.
Entity Type:Organization
Organization Name:PLEASANT REHAB SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-577-1340
Mailing Address - Street 1:30671 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-2285
Mailing Address - Country:US
Mailing Address - Phone:248-577-1340
Mailing Address - Fax:248-577-1344
Practice Address - Street 1:30671 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-2285
Practice Address - Country:US
Practice Address - Phone:248-577-1340
Practice Address - Fax:248-577-1344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty