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Jcb Adult Day Services

Day Training, Developmentally Disabled Services in Oak Park, MI. Organization (NPI-2).

NPI number1427282136
StatusActive
Last updated in NPPESMay 8, 2009

Details

NPI
1427282136
Entity type
Organization (NPI-2)
Legal business name
Jcb Adult Day Services
Organization subpart
No
Enumeration date
May 8, 2009
Last updated
May 8, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes
251T00000X PACE Provider Organization––

Practice location

21500 Greenfield Rd
Suite 201
Oak Park, MI 48237-3009

Phone 248-556-5819 · Fax 248-522-2344

Mailing address

21500 Greenfield Rd
Suite 201
Oak Park, MI 48237-3009

Phone 248-556-5819 · Fax 248-522-2344

Authorized official

Latheresa James
President
3133991407

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