NPI 1649888280

Latifah Wadeedah Jones

Practitioner Nursing Home Administrator Detroit, MI

Practice location

Address: 849 E Grand Blvd, Detroit, MI 48207-2551
Phone: (314) 925-7289

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence AL80070263 (MI)

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Registry record

NPI: 1649888280
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2020
Record last updated: 20 Jul 2020

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.