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Organization

DYNAMIC HOME AND HELP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANISHA L JORDAN LICENSED AFC HOME PR (EXECUTIVE DIRECTOR)
(248) 514-0975
Entity
Organization

Contact information

Practice address
30431 VENTURA ST, SOUTHFIELD, MI 48076-1215
(248) 514-0975
(248) 514-0975
Mailing address
6809 STONEBRIDGE CT, WEST BLOOMFIELD, MI 48322-3251
(248) 514-0975
(248) 514-0975

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
02/17/2026
Last updated
02/18/2026
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