Healthcare Provider Details

I. General information

NPI: 1487891610
Provider Name (Legal Business Name): WORK SKILLS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2009
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SUMMIT ST
BRIGHTON MI
48116-2465
US

IV. Provider business mailing address

100 SUMMIT ST
BRIGHTON MI
48116-2465
US

V. Phone/Fax

Practice location:
  • Phone: 810-227-4868
  • Fax: 810-227-1344
Mailing address:
  • Phone: 810-227-4868
  • Fax: 810-227-1344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. TINA M JACKSON
Title or Position: PRESIDENT/CEO
Credential:
Phone: 810-534-6104