| Quality Recreation & Rehabilitation | |
|
2641 W. Grand Blvd. Detroit MI 48202 | |
| (313) 874-3129 | |
| (248) 354-3901 |
| Full Name | Quality Recreation & Rehabilitation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2641 W. Grand Blvd., Detroit, Michigan |
| Authorized Official Name and Position | Beth R Jenkins (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3138743129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Recreation & Rehabilitation 2641 W Grand Blvd Detroit MI 48208-1234 Ph: (313) 874-3129 | Quality Recreation & Rehabilitation 2641 W. Grand Blvd. Detroit MI 48202 Ph: (313) 874-3129 |
| NPI Number | 1144351404 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 05/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144351404 | NPI | - | NPPES |
| 104662210 | Medicaid | MI | |
| 110H222590 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | AH051664 (Michigan) | Primary |
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