Provider Demographics
NPI:1942374772
Name:U.S. REHABILITATION AND HEALTH SERVICE, INC
Entity Type:Organization
Organization Name:U.S. REHABILITATION AND HEALTH SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR & OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:734-722-9931
Mailing Address - Street 1:34815 W MICHIGAN AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184-1799
Mailing Address - Country:US
Mailing Address - Phone:734-729-9300
Mailing Address - Fax:734-729-9304
Practice Address - Street 1:34815 W MICHIGAN AVE
Practice Address - Street 2:SUITE D
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-1799
Practice Address - Country:US
Practice Address - Phone:734-729-9300
Practice Address - Fax:734-729-9304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI30714OtherBLUE CROSS BLUE SHIELD
MI30714OtherBLUE CROSS BLUE SHIELD