Mary Free Bed Rehabilitation, L.L.C in Troy - Neurology
Mary Free Bed Rehabilitation, L.L.C - NPI 1508848318
Mary Free Bed Rehabilitation, L.L.C is a Neurology in Troy, Michigan. Mary Free Bed Rehabilitation, L.L.C practices all healthcare services and medical treatments related to Neurology. The NPI Number for Mary Free Bed Rehabilitation, L.L.C is 1508848318. The last update date is 2020-08-03.
Mary Free Bed Rehabilitation, L.L.C's current location address is 1845 Livernois Rd, Troy, Michigan. You can contact this provider via phone number 2483622150 and fax number 2483621702. The mailing address for Mary Free Bed Rehabilitation, L.L.C is 1845 Livernois Rd, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mary Free Bed Rehabilitation, L.L.C |
|---|---|
| Address | 1845 Livernois Rd, Troy, Michigan |
| Phone Number | 2483622150 |
| Fax Number | 2483621702 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Deneff Randall |
| Telephone Number | 6168408317 |
NPI Number Detail
| NPI Number | 1508848318 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2020-08-03 |
Provider Mailing Address Detail
| Address | 1845 Livernois Rd |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 480831731 |
| Phone Number | 2483622150 |
| Fax Number | 2483621702 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2251N0400X |
| Licence No | 1686 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4669868 | MI | AETNA | |
| 89046A | MI | HAP | |
| 30688 | MI | BCBSM | |
| 16854 | MI | MCARE | |
| 134812400 | MI | US DEPT OF LABOR | |
| 382473857 | MI | PPOM | |
| P459578 | MI | BLUE CHOICE |
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What is the Mary Free Bed Rehabilitation, L.L.C's 1508848318?
The Mary Free Bed Rehabilitation, L.L.C's NPI (National Provider Identifier) Number is 1508848318. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the area of specialization for Mary Free Bed Rehabilitation, L.L.C, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Free Bed Rehabilitation, L.L.C is Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2251N0400X.
When was the Mary Free Bed Rehabilitation, L.L.C's 1508848318 issued?
The Mary Free Bed Rehabilitation, L.L.C's 1508848318 was issued on 2005-11-17.
On what date did the Centers for Medicare & Medicaid Services issue the 1508848318 to Mary Free Bed Rehabilitation, L.L.C?
The Mary Free Bed Rehabilitation, L.L.C received its 1508848318 assignment from the Centers for Medicare & Medicaid Services on 2005-11-17.
When was the Mary Free Bed Rehabilitation, L.L.C's information last updated?
The Mary Free Bed Rehabilitation, L.L.C's information was last updated on 2020-08-03.