Provider Demographics
NPI:1982433744
Name:SALTER, JADIA ARKEYA
Entity type:Individual
Prefix:
First Name:JADIA
Middle Name:ARKEYA
Last Name:SALTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5716 HAAG RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4742
Mailing Address - Country:US
Mailing Address - Phone:734-772-2449
Mailing Address - Fax:
Practice Address - Street 1:5716 HAAG RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4742
Practice Address - Country:US
Practice Address - Phone:734-772-2449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant