Organization Name: | JAYZ OUTREACH |
NPI Number: | 1174856561 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MUZAFFER AL ZAND (OWNER/PRESIDENT) |
Mailing Address: | 22751 Dequindre Rd Hazel Park |
State: | MI US |
Postal Code: | 480301907 |
Phone Number: | 5862221900 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2009 |
NPI Last Update Date: | 09/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |