Provider First Line Business Practice Location Address:
3601 WEST 13 MILE RD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF REHAB SERVICES
Provider Business Practice Location Address City Name:
ROAYL OAK
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48073-6712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-898-5499
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2018