Individual provider · Type 1 NPI
Jacquelyn Kelly Hudson
Assisted Living Facility · Detroit, MI
NPI number
1861284572
Active
Practice location
20549 Stout St
Detroit, MI 48219-1428
Mailing address
5477 S. Piccadilly Circle
West Bloomfield, MI 48322-1446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | R312086 (MI) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in Detroit
About NPI 1861284572
Jacquelyn Kelly Hudson's National Provider Identifier is 1861284572, issued on May 19, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Detroit, MI. The record was last updated on May 19, 2025.