Organization
T&JK FAMILY HOME SUPPORT SERVICES
Active
Other names
T&JK FAMILY HOME SUPPORT SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL TERRY KENYON (OWNER)
(313) 717-3535
Entity
Organization
Contact information
Practice address
19499 WESTBROOK ST, DETROIT, MI 48219-1921
(313) 717-3535
Mailing address
PO BOX 2398, TAYLOR, MI 48180-7198
(313) 717-3535
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/24/2023
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