NPI 1083060479
Jack and Jill Transitional Living INC.
Practice location
- Address
- 12891 Woodward Ave, Highland Park, MI 48203-3315
- Phone
- (313) 782-5553
Authorised official
- Name
- Jillian Nicole Swanson
- Title
- President/Owner
- Phone
- (313) 782-5553
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1083060479
- Entity type
- Organization
- NPI issued
- 4 May 2016
- Record last updated
- 4 May 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.