Organization
TEN31EIGHTYNINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYERA JACKSON RN (AUTHORIZED OFFICIAL/CEO)
(810) 423-6723
Entity
Organization
Contact information
Practice address
4006 MILBOURNE AVE, FLINT, MI 48504-2212
(810) 423-6723
Mailing address
4006 MILBOURNE AVE, FLINT, MI 48504-2212
(810) 423-6723
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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