Organization
FULL HOUSE SERVICES LLC
Active
Parent organization
MICHIGAN DEPT OF HEALTH AND HUMAN SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN DEPT OF HEALTH AND HUMAN SERVICES
Authorized official
SHAWN RENE JONES (MHIP COORDINATOR)
(313) 729-1799
Entity
Organization
Contact information
Practice address
19221 PACKARD ST, DETROIT, MI 48234-3197
(313) 729-1799
Mailing address
19221 PACKARD ST, DETROIT, MI 48234-3197
(313) 729-1799
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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