Provider Demographics
NPI:1124748439
Name:MANAGED REHABILITATION CONSULTANTS, INC.
Entity type:Organization
Organization Name:MANAGED REHABILITATION CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN, CCM
Authorized Official - Phone:248-848-9120
Mailing Address - Street 1:PO BOX 2480
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48333-2480
Mailing Address - Country:US
Mailing Address - Phone:248-848-9120
Mailing Address - Fax:248-848-9019
Practice Address - Street 1:39303 COUNTRY CLUB DR STE A50
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-3482
Practice Address - Country:US
Practice Address - Phone:248-848-9120
Practice Address - Fax:248-848-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management