OrganizationActive
Jump Start LLC Maternal Infant Health Program
NPI 1376908921 · Exclusive Provider Organization · Pontiac, MI
Provider details
- NPI number
- 1376908921
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Sarah Lee, Maternal Infant Health Provider(313) 587-2963
- License
- 302F00000X (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
1086 Williamson Cir
Pontiac, MI 48340
Phone: (313) 587-2963
Approximate (ZIP-level) locationGet directions
Mailing address
1086 Williamson Cir
Pontiac, MI 48340-3314
Registry dates
- Enumerated
- 2015-12-28
- Last updated
- 2015-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.