NPI 1245194471

Jason Christopher Crump

Practitioner Intellectual Disabilities Intermediate Care Facility Detroit, MI

Practice location

Address: 811 Gladstone St, Detroit, MI 48202-1709
Phone: (313) 444-6594
Mailing address: 22459 Armstrong Ave, Brownstown, MI 48193-8210

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence AS8200419685 (MI)

Other Intermediate Care Facility, Intellectual Disabilities providers in Michigan →

Registry record

NPI: 1245194471
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2025
Record last updated: 11 Dec 2025

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.