OrganizationActive
Care Resource Team
NPI 1740751346 · Community Health Registered Nurse · Waterford, MI
Provider details
- NPI number
- 1740751346
- Entity type
- Organization
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Jerri Medved, Owner(248) 421-7633
Specialties & taxonomies
Nursing Service Providers
- Case Management Agency251B00000X
Agencies
- Nursing Care Agency251J00000X
Agencies
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Preferred Provider Organization305R00000X
Managed Care Organizations
Practice location
5758 Cooley Lake Rd
Waterford, MI 48327-3073
Phone: (248) 421-7633
Approximate (ZIP-level) locationGet directions
Mailing address
1327 Sherwood Forest Ct
Waterford, MI 48327-1677
Registry dates
- Enumerated
- 2018-12-08
- Last updated
- 2019-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.