Healthcare Provider Details

I. General information

NPI: 1689075285
Provider Name (Legal Business Name): JEWISH FAMILY SERVICES OF WASHTENAW COUNTY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2245 S STATE ST SUITE 200
ANN ARBOR MI
48104-6184
US

IV. Provider business mailing address

2245 S STATE ST SUITE 200
ANN ARBOR MI
48104-6184
US

V. Phone/Fax

Practice location:
  • Phone: 734-769-0209
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: ANYA ABRAMZON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 734-769-0209