Provider Demographics
NPI:1891230231
Name:ARINAS REHAB
Entity Type:Organization
Organization Name:ARINAS REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-277-6889
Mailing Address - Street 1:6861 N CLUNBURY RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4316
Mailing Address - Country:US
Mailing Address - Phone:248-277-6889
Mailing Address - Fax:
Practice Address - Street 1:22340 MAPLEWOOD DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3658
Practice Address - Country:US
Practice Address - Phone:248-277-6889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)