Healthcare Provider Details

I. General information

NPI: 1063219301
Provider Name (Legal Business Name): SHELTER ASSOCIATION OF WASHTENAW COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 W HURON ST
ANN ARBOR MI
48103-4204
US

IV. Provider business mailing address

312 W HURON ST
ANN ARBOR MI
48103-4204
US

V. Phone/Fax

Practice location:
  • Phone: 734-662-2829
  • Fax: 734-369-2207
Mailing address:
  • Phone: 734-678-2378
  • Fax: 734-369-2207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SARAH JASINSKI
Title or Position: DIRECTOR
Credential:
Phone: 734-678-2378