Provider Demographics
NPI:1780465336
Name:RONALD MCDONALD HOUSE CHARITIES DETROIT
Entity type:Organization
Organization Name:RONALD MCDONALD HOUSE CHARITIES DETROIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LITOMISKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-415-1455
Mailing Address - Street 1:4707 SAINT ANTOINE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-1427
Mailing Address - Country:US
Mailing Address - Phone:313-745-5909
Mailing Address - Fax:
Practice Address - Street 1:4707 SAINT ANTOINE ST STE 200
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-1427
Practice Address - Country:US
Practice Address - Phone:313-745-5909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging