| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053949701 | BEACH | JEFFREY | GARY | 13901 E JEFFERSON AVE | DETROIT | MI | 482152720 | |
| 1881746980 | DANLEY | LESLIE | 13901 E JEFFERSON AVE | DETROIT | MI | 482152720 | ||
| 1952676546 | HADLEY | MERYL | ANN | 13901 E JEFFERSON AVE | DETROIT | MI | 482152720 | |
| 1851547038 | SHOULDERS-WILLIAMS | MARIE | 26650 EUREKA RD | TAYLOR | MI | 481804835 |