Healthcare Provider Details

I. General information

NPI: 1275490484
Provider Name (Legal Business Name): CHLOE MELVILLE-SCHWEDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 BONDSTEEL DR
JACKSON MI
49202-1437
US

IV. Provider business mailing address

PO BOX 1978
JACKSON MI
49204-1978
US

V. Phone/Fax

Practice location:
  • Phone: 517-748-7071
  • Fax: 517-748-7441
Mailing address:
  • Phone: 517-748-7071
  • Fax: 517-748-7441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: