Guardian Angel Outpatient Rehab Inc

LBN: Guardian Angel Outpatient Rehab Inc
Guardian Angel Outpatient Rehab Inc is an health care organization with primary practice located at 34612 Dequindre Rd Suite C, Sterling Hts MI 48310-5233. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Guardian Angel Outpatient Rehab Inc can be contacted via phone (586) 983-4101, or through Kassab, Sam D. via phone (248) 293-2400.

Contact Information

Primary practice address
34612 Dequindre Rd Suite C Sterling Hts MI 48310-5233
Fax:
Website:
Authorized official contact:
Name: Kassab, Sam D.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X Michigan

Profile Details

NPI number 1821097684
LBN Legal business name Guardian Angel Outpatient Rehab Inc
DBA Doing business as
Authorized official Kassab, Sam D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2005
Last updated Jan 2nd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821097684 NPPES
Michigan Other 164198 GREAT LAKES HEALTH PLAN
Michigan Other 30635 GREAT LAKES HEALTH PLAN
Michigan Other 025370 GREAT LAKES HEALTH PLAN
Michigan Other 1029053 GREAT LAKES HEALTH PLAN

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