Provider Demographics
NPI:1932305752
Name:REHA'S CARE GIVING HOME
Entity Type:Organization
Organization Name:REHA'S CARE GIVING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REHA
Authorized Official - Middle Name:LAFRAN
Authorized Official - Last Name:BURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-344-7762
Mailing Address - Street 1:720 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-4904
Mailing Address - Country:US
Mailing Address - Phone:269-344-7762
Mailing Address - Fax:269-762-6543
Practice Address - Street 1:720 W WALNUT ST
Practice Address - Street 2:720 W. WALNUT ST.
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-4904
Practice Address - Country:US
Practice Address - Phone:269-344-7762
Practice Address - Fax:269-762-6543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAF3902516553104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness