Fairlane Senior Care And Rehab Center, Llc

NPI 1750431276 - Durable Medical Equipment & Medical Supplies - 332BN1400X

NPI Details
NPI 1750431276
Enumeration Date 01/10/2007
Last Updated 11/16/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD ANTHONY RICHARD
Position OWNER
Phone (313) 273-6850
Fax (313) 273-5977
Practice Location
15750 JOY RD
DETROIT MI, 48228-2196, US
Phone (313) 273-6850
Fax (313) 273-5977
Business Location
10503 CITATION DR STE 100
BRIGHTON MI, 48116-6551, US
Phone (810) 534-0150
Fax (810) 534-0208
Toxanomy
Taxonomy Code 332BN1400X
License State Michigan
License Number 834360
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According to our database, Fairlane Senior Care And Rehab Center, Llc NPI is 1750431276, taxonomy code is 332BN1400X and license number is 834360, license state is located at Michigan. Fairlane Senior Care And Rehab Center, Llc physically located at 15750 Joy Rd, Detroit MI, 48228-2196. NPI Number 1033115704 has the healthcare provider type.

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1750431276 NPI number is provided on an as is basis without warranty of any kind. 1750431276 is maintained by the National Plan & Provider Enumeration System. The contents of Fairlane Senior Care And Rehab Center, Llc are for informational purposes only.