Organization
T&JK FAMILY HOME SUPPORT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL TERRY KENYON (OWNER)
(313) 717-3535
Entity
Organization
Contact information
Practice address
19499 WESTBROOK ST, DETROIT, MI 48219-1921
(313) 717-3535
Mailing address
PO BOX 2398, TAYLOR, MI 48180-7198
(313) 717-3535
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/20/2021
Last updated
07/30/2021
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