Ivyrehab Michigan, Llc | |
12319 Highland Rd Ste 501 Hartland MI 48353-2946 | |
(810) 991-1211 | |
(810) 991-1656 |
Full Name | Ivyrehab Michigan, Llc |
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Speciality | Behavior Analyst |
Location | 12319 Highland Rd Ste 501, Hartland, Michigan |
Authorized Official Name and Position | Ashley Griffiths (DIRECTOR OF PAYER RELATIONS) |
Authorized Official Contact | 9142944050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ivyrehab Michigan, Llc 1311 Mamaroneck Ave Ste 140 White Plains NY 10605-5224 Ph: (914) 265-4582 | Ivyrehab Michigan, Llc 12319 Highland Rd Ste 501 Hartland MI 48353-2946 Ph: (810) 991-1211 |
NPI Number | 1508519489 |
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Provider Enumeration Date | 01/31/2022 |
Last Update Date | 02/22/2023 |
Certification Date | 02/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508519489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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