Organization
JEANNETTE ABNEY
Active
Other names
Jireh Provisions
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE ABNEY (PRESIDENT/CEO)
(616) 536-2277
Entity
Organization
Contact information
Practice address
4000 ALPINE AVE NW, 577, COMSTOCK PARK, MI 49321-8033
(313) 720-6791
Mailing address
304 S MAPLE ST SE, D, CALEDONIA, MI 49316-8947
(616) 536-2277
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
251B00000X
Case Management Agency
—
—
282NW0100X
Women's Hospital
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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