Individual
JAI'DA AMYRE' RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 WOODWARD AVE, DETROIT, MI 48202-2142
(313) 875-7601
Mailing address
PO BOX 453, EASTPOINTE, MI 48021-0453
(313) 919-3137
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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