Healthcare Provider Details

I. General information

NPI: 1437420189
Provider Name (Legal Business Name): JZ CHATS HOME HEATH SERVICES OF MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2012
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25800 NORTHWESTERN HWY STE 150
SOUTHFIELD MI
48075-8403
US

IV. Provider business mailing address

25800 NORTHWESTERN HWY STE 150
SOUTHFIELD MI
48075-8403
US

V. Phone/Fax

Practice location:
  • Phone: 248-594-7722
  • Fax:
Mailing address:
  • Phone: 248-594-7722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number3320150
License Number StateMI

VIII. Authorized Official

Name: CHERYL MCNEAL
Title or Position: CEO
Credential:
Phone: 248-594-7722