| Organization Name: | JP HEALTH SYSTEMS LLC |
| NPI Number: | 1144636796 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK PETER KINAYA (OWNER) |
| Mailing Address: | 3161 Hilton Rd Ferndale |
| State: | MI US |
| Postal Code: | 482201038 |
| Phone Number: | 2485355685 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2014 |
| NPI Last Update Date: | 07/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |