Organization
GREAT START MIHP LLC
Active
Organization
GREAT START MIHP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SHEPHERD (OWNER)
(586) 825-3029
Entity
Organization
Contact information
Practice address
36380 GARFIELD RD STE 4, CLINTON TOWNSHIP, MI 48035-1162
(586) 825-3029
(586) 825-3028
Mailing address
36380 GARFIELD RD STE 4, CLINTON TOWNSHIP, MI 48035-1162
(586) 825-3029
(586) 825-3028
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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