Provider Demographics
NPI:1871319723
Name:MERGER REHAB CASE MANAGEMENT
Entity type:Organization
Organization Name:MERGER REHAB CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHANTELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RITCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-719-4608
Mailing Address - Street 1:995 N PONTIAC TRL UNIT 58
Mailing Address - Street 2:
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390-7002
Mailing Address - Country:US
Mailing Address - Phone:248-719-4608
Mailing Address - Fax:866-620-1406
Practice Address - Street 1:995 N PONTIAC TRL UNIT 58
Practice Address - Street 2:
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-7002
Practice Address - Country:US
Practice Address - Phone:248-719-4608
Practice Address - Fax:866-620-1406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management