Vibra Of Southeastern Michigan

LBN: Vibra Of Southeastern Michigan Llc
Vibra Of Southeastern Michigan is an health care organization with primary practice located at 26400 West Outer Dr , Lincoln Park MI 48146-2088. The organization recently has only one registered license in Hospitals / Long Term Care Hospital, which is considered as the primary health care specialty. Vibra Of Southeastern Michigan Llc can be contacted via phone (313) 594-6000, or through Hollinger, Brad Eugene via phone (717) 591-5700.

Contact Information

Primary practice address
26400 West Outer Dr Lincoln Park MI 48146-2088
Fax: (313) 594-6252
Website:
Authorized official contact:
Name: Hollinger, Brad Eugene

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Long Term Care Hospital 282E00000X 820130 Michigan

Profile Details

NPI number 1508027624
LBN Legal business name Vibra Of Southeastern Michigan Llc
DBA Doing business as Vibra Of Southeastern Michigan
Authorized official Hollinger, Brad Eugene
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2008
Last updated Oct 10th, 2023 - about last year

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 1508027624 NPPES
Michigan MEDICAID 302715477

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