Provider Demographics
NPI:1750568077
Name:REHAB AND MOBILITY SYSTEMS, LLC
Entity type:Organization
Organization Name:REHAB AND MOBILITY SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:ZICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-593-2840
Mailing Address - Street 1:11395 N SAGINAW RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:CLIO
Mailing Address - State:MI
Mailing Address - Zip Code:48420-2705
Mailing Address - Country:US
Mailing Address - Phone:248-593-2840
Mailing Address - Fax:248-593-2850
Practice Address - Street 1:11395 N SAGINAW RD
Practice Address - Street 2:SUITE 11
Practice Address - City:CLIO
Practice Address - State:MI
Practice Address - Zip Code:48420-2705
Practice Address - Country:US
Practice Address - Phone:248-593-2840
Practice Address - Fax:248-593-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6147640001Medicare NSC