Provider Demographics
NPI:1629825336
Name:NORTH EASTERN MICHIGAN REHABILITATION AND OPPORTUNITY CENTER, INC.
Entity type:Organization
Organization Name:NORTH EASTERN MICHIGAN REHABILITATION AND OPPORTUNITY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHABILITATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRISENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-356-6141
Mailing Address - Street 1:800 BOLTON ST
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-2034
Mailing Address - Country:US
Mailing Address - Phone:989-356-6141
Mailing Address - Fax:
Practice Address - Street 1:800 BOLTON ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-2034
Practice Address - Country:US
Practice Address - Phone:989-356-6141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit