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Organization

DUNGYTREEI OPERATION RED DOOR, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENA MORGAN (CHIEF EXECUTIVE DIRECTOR)
(517) 240-3511
Entity
Organization

Contact information

Practice address
245 E ROBINSON ST, JACKSON, MI 49203-4364
(517) 240-3511
Mailing address
245 E ROBINSON ST, JACKSON, MI 49203-4364

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
174200000X
Meals Provider
175T00000X
Peer Specialist
251B00000X
Case Management Agency
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals
372500000X
Chore Provider
372600000X
Adult Companion

Other

Enumeration date
02/20/2024
Last updated
03/14/2025
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