NPI 1154698439

Advantage Professional Rehab. Services LTD

Organisation Health Maintenance Organization Hazel Park, MI

Practice location

Address: 23411 John R Rd, Hazel Park, MI 48030-1404
Phone: (248) 544-4181
Mailing address: 6701 Stonebridge CT, West Bloomfield, MI 48322-3268

Authorised official

Name: Muhammad Saeed Tariq
Title: President
Phone: (248) 240-4111

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 5305035066 (MI)

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Registry record

NPI: 1154698439
Entity type: Organization
NPI issued: 30 Nov 2011
Record last updated: 30 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.