Organization
JUMP START LLC MATERNAL INFANT HEALTH PROGRAM
Active
Organization
JUMP START LLC MATERNAL INFANT HEALTH PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH ELIZABETH LEE (MATERNAL INFANT HEALTH PROVIDER)
(313) 587-2963
Entity
Organization
Contact information
Practice address
1086 WILLIAMSON CIR, PONTIAC, MI 48340
(313) 587-2963
Mailing address
1086 WILLIAMSON CIR, PONTIAC, MI 48340-3314
(313) 587-2963
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
302F00000X
MI
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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