Provider Demographics
NPI:1306304662
Name:MAXIMUM REHABILITATION & HEALTH SERVICES
Entity type:Organization
Organization Name:MAXIMUM REHABILITATION & HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LABIB
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-790-0700
Mailing Address - Street 1:18211 W 12 MILE RD STE 2W
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2643
Mailing Address - Country:US
Mailing Address - Phone:248-629-0904
Mailing Address - Fax:248-629-4010
Practice Address - Street 1:18211 W 12 MILE RD STE 2W
Practice Address - Street 2:
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-2643
Practice Address - Country:US
Practice Address - Phone:248-629-0904
Practice Address - Fax:248-629-4010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center