Organization
CHOICES WITH SELF DETERMINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LYNN JENKINS RSST (OWNER)
(517) 254-0017
Entity
Organization
Contact information
Practice address
3400 E TERRITORIAL RD, CAMDEN, MI 49232-9035
(517) 254-0017
(517) 254-4458
Mailing address
3400 E TERRITORIAL RD, CAMDEN, MI 49232-9035
(517) 254-0017
(517) 254-4458
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
06/20/2023
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