Healthcare Provider Details

I. General information

NPI: 1639087232
Provider Name (Legal Business Name): DUUNGYTREEI OPERATION RED DOOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 E ROBINSON ST
JACKSON MI
49203-4364
US

IV. Provider business mailing address

245 E ROBINSON ST
JACKSON MI
49203-4364
US

V. Phone/Fax

Practice location:
  • Phone: 517-240-3511
  • Fax: 517-240-3511
Mailing address:
  • Phone:
  • Fax: 517-240-3511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DENA MORGAN
Title or Position: AGENCY OWNER
Credential: MORGAN
Phone: 517-240-3511