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Antholyn Floyed-jackson
Day Training/Habilitation Specialist in Detroit, Michigan
NPI 1215696927

Antholyn Floyed-jackson is a Day Training/Habilitation Specialist based in Southfield, MI. Antholyn Floyed-jackson practices in Detroit, MI. The NPI Number for Antholyn Floyed-jackson is 1215696927 and holds a License No. (Michigan).

The current practice location address for Antholyn Floyed-jackson is 3111 Grand River Ave, Detroit, MI and can be reached out via phone at 313-557-8620. You can also correspond with Antholyn Floyed-jackson through the mailing address at 17167 BONSTELLE AVE, SOUTHFIELD, MI - 48075-3470 (mailing address contact number: ).

Location: 3111 Grand River Ave, Detroit, MI, 48075-3470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215696927
Provider Name
Antholyn Floyed-jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3111 Grand River Ave, Detroit, MI, 48075-3470
Phone Number
313-557-8620
Fax Number
Provider Enumeration Date
12/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3111 Grand River Ave
City
Detroit
State
Michigan
Zip
48208-2962
Phone Number
313-557-8620
Fax Number
person
Provider Business Mailing Address Details
Address
3111 Grand River Ave
City
Detroit
State
Michigan
Zip
48208-2962
Phone Number
313-557-8620
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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