Jackson'S Preffered Rehab Care Inc

LBN: Jackson'S Preffered Rehab Care Inc
Jackson'S Preffered Rehab Care Inc is an health care organization with primary practice located at 110 E Michigan Ave , Grass Lake MI 49240-9680. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Jackson'S Preffered Rehab Care Inc can be contacted via phone (517) 745-3161, or through Kunchappa, Karthyayani via phone (517) 745-3161.

Contact Information

Primary practice address
110 E Michigan Ave Grass Lake MI 49240-9680
Phone: (517) 745-3161
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kunchappa, Karthyayani Physical Therapist (PT)
Phone: (517) 745-3161

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501007396 Michigan

Profile Details

NPI number 1326169434
LBN Legal business name Jackson'S Preffered Rehab Care Inc
DBA Doing business as
Authorized official Kunchappa, Karthyayani Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated May 17th, 2012 - 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 1326169434 NPPES
Michigan Other 650C807050 BLUE CROSS

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