Organization
JCB ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATHERESA JAMES (PRESIDENT)
(313) 399-1407
Entity
Organization
Contact information
Practice address
21500 GREENFIELD RD, SUITE 201, OAK PARK, MI 48237-3009
(248) 556-5819
(248) 522-2344
Mailing address
21500 GREENFIELD RD, SUITE 201, OAK PARK, MI 48237-3009
(248) 556-5819
(248) 522-2344
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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