MIDWEST RECOVERY AND WELLNESS LLC NPI 1720589286

NPI Information

NPI: 1720589286
Provider Name: MIDWEST RECOVERY AND WELLNESS LLC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
2527 S 11TH ST STE 2
NILES, MI
ZIP 49120
Phone: (269) 262-1815
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MIDWEST RECOVERY AND WELLNESS LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Niles, MI. MIDWEST RECOVERY AND WELLNESS LLC NPI is 1720589286. The provider is registered as an organization entity type.

The provider's business location address is:

2527 S 11TH ST STE 2
NILES, MI
ZIP 49120-747
Phone: (269) 262-1815

The provider's authorized official is Robin Harvell .
The authorized official title is Clinical Director and has the following contact phone number (269) 635-2396.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 2/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	SA0140016	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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