Healthcare Provider Details

I. General information

NPI: 1417553397
Provider Name (Legal Business Name): JUSKO MORE COMMUNICATION ASSOCIATES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7420 PEREGRINE LN
DAVISON MI
48423-3179
US

IV. Provider business mailing address

7420 PEREGRINE LN
DAVISON MI
48423-3179
US

V. Phone/Fax

Practice location:
  • Phone: 248-860-4872
  • Fax: 810-412-4600
Mailing address:
  • Phone: 248-860-4872
  • Fax: 810-412-4600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WEBSTER
Title or Position: OWNER
Credential:
Phone: 248-860-4872