Provider Demographics
NPI:1881183481
Name:CARE AND REHAB SERVICES
Entity Type:Organization
Organization Name:CARE AND REHAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ALTADONNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-710-3408
Mailing Address - Street 1:1142 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1114
Mailing Address - Country:US
Mailing Address - Phone:248-710-3408
Mailing Address - Fax:248-710-3412
Practice Address - Street 1:1142 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1114
Practice Address - Country:US
Practice Address - Phone:248-710-3408
Practice Address - Fax:248-710-3412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI82-26332381OtherHEALTH