Provider Demographics
NPI:1851066104
Name:KC REHABILITATION CONSULTANTS
Entity Type:Organization
Organization Name:KC REHABILITATION CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBIAS
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL, CCM, MSCC
Authorized Official - Phone:248-661-6688
Mailing Address - Street 1:35055 W 12 MILE RD OFC 160
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-3280
Mailing Address - Country:US
Mailing Address - Phone:248-661-6688
Mailing Address - Fax:
Practice Address - Street 1:35055 W 12 MILE RD OFC 160
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-3280
Practice Address - Country:US
Practice Address - Phone:248-661-6688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management