Provider Demographics
NPI:1831472943
Name:YAHWEH JIREH CARE MANAGEMENT NETWORK, LLC.
Entity Type:Organization
Organization Name:YAHWEH JIREH CARE MANAGEMENT NETWORK, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-692-2485
Mailing Address - Street 1:22288 GLENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-5236
Mailing Address - Country:US
Mailing Address - Phone:734-692-2485
Mailing Address - Fax:
Practice Address - Street 1:22288 GLENWOOD LN
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-5236
Practice Address - Country:US
Practice Address - Phone:734-692-2485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care