Provider Demographics
NPI:1881144830
Name:NEW HORIZONS REHABILITATION SERVICES, INC
Entity type:Organization
Organization Name:NEW HORIZONS REHABILITATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DATABASE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-340-0559
Mailing Address - Street 1:1814 POND RUN
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-2768
Mailing Address - Country:US
Mailing Address - Phone:248-340-0559
Mailing Address - Fax:248-724-0483
Practice Address - Street 1:10445 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:DAVISBURG
Practice Address - State:MI
Practice Address - Zip Code:48350-1308
Practice Address - Country:US
Practice Address - Phone:248-625-0808
Practice Address - Fax:248-625-1827
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HORIZONS REHABLITATION SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services