Organization
JACK AND JILL TRANSITIONAL LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILLIAN NICOLE SWANSON (PRESIDENT/OWNER)
(313) 782-5553
Entity
Organization
Contact information
Practice address
12891 WOODWARD AVE, HIGHLAND PARK, MI 48203-3315
(313) 782-5553
Mailing address
12891 WOODWARD AVE, HIGHLAND PARK, MI 48203-3315
(313) 782-5553
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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