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Organization
GREAT LAKES FAMILY SERVICES
Active
Organization
GREAT LAKES FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIAMOND JENKINS (EXECUTIVE DIRECTOR)
(313) 785-3020
Entity
Organization
Contact information
Practice address
17121 REDFORD ST APT 112, DETROIT, MI 48219-3244
(313) 785-3020
Mailing address
17121 REDFORD ST APT 112, DETROIT, MI 48219-3244
(313) 785-3020
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
Primary
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
342000000X
Transportation Network Company
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/09/2026
Last updated
01/24/2026
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