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Organization

COLLECTIVE HEALTH COALITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHAFONTA HAYDEN (EXECUTIVE DIRECTOR)
(586) 980-0090
Entity
Organization

Contact information

Practice address
19959 RIOPELLE ST, DETROIT, MI 48203-1249
(586) 980-0090
(586) 980-0090
Mailing address
14984 RIVER VIEW CT, STERLING HEIGHTS, MI 48313-5772
(586) 980-0090

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
172V00000X
Community Health Worker
174200000X
Meals Provider
177F00000X
Lodging Provider
251E00000X
Home Health Agency
Primary
251F00000X
Home Infusion Agency
251G00000X
Community Based Hospice Care Agency
311ZA0620X
Adult Care Home Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
343900000X
Non-emergency Medical Transport (VAN)
364SH0200X
Home Health Clinical Nurse Specialist
374U00000X
Home Health Aide

Other

Enumeration date
10/08/2025
Last updated
12/16/2025
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