Revive Rehab Center Ii Llc

LBN: Revive Rehab Center Ii Llc
Revive Rehab Center Ii Llc is an health care organization with primary practice located at 20311 Mack Ave Ste 1 , Grosse Pointe Woods MI 48236-1784. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Revive Rehab Center Ii Llc can be contacted via phone (313) 469-8890, or through Bazzi, Angie via phone (313) 469-8890.

Contact Information

Primary practice address
20311 Mack Ave Ste 1 Grosse Pointe Woods MI 48236-1784
Phone: (313) 469-8890
Fax: (313) 469-6971
Website:
Map and Directions
Authorized official contact:
Name: Bazzi, Angie
Phone: (313) 469-8890

Health care specialties

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

Profile Details

NPI number 1467982330
LBN Legal business name Revive Rehab Center Ii Llc
DBA Doing business as
Authorized official Bazzi, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2017
Last updated Jul 21st, 2022 - about 2 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 1467982330 NPPES
Michigan MEDICAID PENDING

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