Healthcare Provider Details

I. General information

NPI: 1295983088
Provider Name (Legal Business Name): APJ ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 09/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4029 LAPEER RD
BURTON MI
48509-1707
US

IV. Provider business mailing address

4029 LAPEER RD
BURTON MI
48509-1707
US

V. Phone/Fax

Practice location:
  • Phone: 810-249-2561
  • Fax: 810-743-7977
Mailing address:
  • Phone: 810-249-2561
  • Fax: 810-743-7977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBORAH KAY JONES
Title or Position: OWNER
Credential: CSA
Phone: 810-249-2561