Healthcare Provider Details

I. General information

NPI: 1114852852
Provider Name (Legal Business Name): BLUE DOVE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W MICHIGAN AVE STE 200
YPSILANTI MI
48197-5443
US

IV. Provider business mailing address

300 W MICHIGAN AVE STE 200
YPSILANTI MI
48197-5443
US

V. Phone/Fax

Practice location:
  • Phone: 734-667-1764
  • Fax:
Mailing address:
  • Phone: 734-667-1764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JACQUELINE MBWILLE SAKAYA
Title or Position: OWNER
Credential: PHARMD
Phone: 734-620-9865