Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
QUALITY RECREATION & REHABILITATION
Active
Organization
QUALITY RECREATION & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH R JENKINS (PROGRAM DIRECTOR)
(313) 874-3129
Entity
Organization
Contact information
Practice address
2641 W. GRAND BLVD., DETROIT, MI 48202
(313) 874-3129
(248) 354-3901
Mailing address
2641 W GRAND BLVD, DETROIT, MI 48208-1234
(313) 874-3129
(248) 354-3901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AH051664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104662210
—
MI
01
—
110H222590
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/08/2007
Last updated
05/26/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up