OrganizationActive
P.a.l.s., Inc
NPI 1669552931 · Exclusive Provider Organization · Dearborn Heights, MI
Provider details
- NPI number
- 1669552931
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Sandra Jackson, Executive Director(313) 561-3360
- License
- AS20014119 (MI)
Specialties & taxonomies
Managed Care Organizations
Managed Care Organizations
- Exclusive Provider Organization302F00000X
Managed Care Organizations
Practice location
6500 N Inkster Rd
Dearborn Heights, MI 48127-1807
Phone: (313) 561-3360
Fax: (313) 561-3347
Approximate (ZIP-level) locationGet directions
Mailing address
6500 N Inkster Rd
Dearborn Heights, MI 48127-1807
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.