Provider Demographics
NPI:1760699425
Name:TLC REHAB SERVICES INC
Entity Type:Organization
Organization Name:TLC REHAB SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ILYAS
Authorized Official - Last Name:CHUADHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-287-1600
Mailing Address - Street 1:12701 TELEGRAPH RD
Mailing Address - Street 2:STE.# 205
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-6847
Mailing Address - Country:US
Mailing Address - Phone:734-287-1600
Mailing Address - Fax:734-287-1622
Practice Address - Street 1:12701 TELEGRAPH RD
Practice Address - Street 2:STE.# 205
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-6847
Practice Address - Country:US
Practice Address - Phone:734-287-1600
Practice Address - Fax:734-287-1622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236774Medicare ID - Type Unspecified