Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN KELLY HUDSON
Active Sole ProprietorJACQUELYN KELLY HUDSON is a Assisted Living Facility healthcare provider located in DETROIT, Michigan. NPI 1861284572 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · DETROIT, MI
Registration Details
- NPI Number
- 1861284572
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2025 (1.2561608710584 yrs)
- Last Updated
- May 19, 2025
- License
-
R312086 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20549 STOUT STDETROIT, MI, 482191428Browse MI providers · Browse ZIP 48219
- Phone
- 3137665846
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| JUANITA MOSLEY | — | 1518575216 |
| SANTANA MANUEL GREEN | — | 1598615742 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.