Provider Demographics
NPI:1740625458
Name:UNITED REHABILITATION SERVICES LLC
Entity type:Organization
Organization Name:UNITED REHABILITATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:KAYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-996-8156
Mailing Address - Street 1:17220 W 12 MILE RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2114
Mailing Address - Country:US
Mailing Address - Phone:248-996-8156
Mailing Address - Fax:248-327-7561
Practice Address - Street 1:17220 W 12 MILE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2114
Practice Address - Country:US
Practice Address - Phone:248-996-8156
Practice Address - Fax:248-327-7561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty