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Organization

EQUITY IN PARTNERSHIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DIAMOND DANAISE JENKINS (EXECUTIVE DIRECTOR/ PRESIDENT)
(313) 350-0278
Entity
Organization

Contact information

Practice address
19207 KEYSTONE ST, SUITE 101, DETROIT, MI 48234-2334
(313) 731-8991
Mailing address
19207 KEYSTONE ST, SUITE 101, DETROIT, MI 48234-2334
(313) 731-8991

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
Primary
251V00000X
Voluntary or Charitable Agency
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
02/20/2011
Last updated
02/20/2011
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