Organization
JETTA BLUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA SASHINGTON (OWNER)
(269) 601-6800
Entity
Organization
Contact information
Practice address
3401 CAPITAL AVE SW APT 21A, BATTLE CREEK, MI 49015-8320
(269) 601-8800
Mailing address
3401 CAPITAL AVE SW APT 21A, BATTLE CREEK, MI 49015-8320
(269) 601-6800
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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