JUMP START LLC MATERNAL INFANT HEALTH PROGRAM

PONTIAC, MI
NPI1376908921
Entity TypeOrganization
Authorized ContactSARAH ELIZABETH LEE
Maternal Infant Health Provider
313-587-2963
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: MI  302F00000X)
Enumeration Date2015-12-28
Last Update Date2015-12-28
Business Address
JUMP START LLC MATERNAL INFANT HEALTH PROGRAM
1086 WILLIAMSON CIR
PONTIAC, MI 48340
Phone number: 313-587-2963
Mailing Address
JUMP START LLC MATERNAL INFANT HEALTH PROGRAM
1086 WILLIAMSON CIR
PONTIAC, MI 48340-3314
Phone number: 313-587-2963