Jack Durrell Daniels
Jack Durrell Daniels is a Case Manager/Care Coordinator in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.
- Licensed in
- MI
- In the registry since
- 2025
Practice location Address checks out
1115 Ball Ave NEGrand Rapids, MI 49505-5904
Phone: (616) 456-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (MI) |
|---|
Record details
| NPI number | 1457215535 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 12, 2025 |
| Last updated in NPPES | December 12, 2025 |
| Certification date | December 12, 2025 |
| Mailing address | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 |
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