Provider Demographics
NPI:1063893360
Name:MOTHERS HELPING MOTHERS
Entity type:Organization
Organization Name:MOTHERS HELPING MOTHERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRENATAL CARE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-837-0008
Mailing Address - Street 1:3341 W NORTH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-1457
Mailing Address - Country:US
Mailing Address - Phone:414-837-0008
Mailing Address - Fax:414-837-0008
Practice Address - Street 1:3341 W NORTH AVE STE 101
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-1457
Practice Address - Country:US
Practice Address - Phone:414-837-0008
Practice Address - Fax:414-837-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management