Organization
TRIPLE JS EXCELLENT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY EDIAGBONYA (OWNER/PRESIDENT)
(313) 695-4311
Entity
Organization
Contact information
Practice address
18722 WOODSIDE ST, HARPER WOODS, MI 48225-2122
(313) 695-4311
Mailing address
46828 EMERALD CREEK DR, SHELBY TOWNSHIP, MI 48315-5580
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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