Provider Demographics
NPI:1326246083
Name:MILESTONE REHAB SERVICES, INC.
Entity Type:Organization
Organization Name:MILESTONE REHAB SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ATIF
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-259-8710
Mailing Address - Street 1:5820 N LILLEY RD
Mailing Address - Street 2:SUITE 1.
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3686
Mailing Address - Country:US
Mailing Address - Phone:734-259-8710
Mailing Address - Fax:734-259-8718
Practice Address - Street 1:5820 N LILLEY RD
Practice Address - Street 2:SUITE 1.
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3686
Practice Address - Country:US
Practice Address - Phone:734-259-8710
Practice Address - Fax:734-259-8718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-04
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI236764385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236764Medicare ID - Type UnspecifiedREHAB FACILITY