Provider Demographics
NPI:1104415124
Name:NURTURING CONNECTIONS L.L.C.
Entity type:Organization
Organization Name:NURTURING CONNECTIONS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AQEELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MUNTAQIM
Authorized Official - Suffix:
Authorized Official - Credentials:CLS
Authorized Official - Phone:313-757-2616
Mailing Address - Street 1:20474 VINE DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-6501
Mailing Address - Country:US
Mailing Address - Phone:313-283-9868
Mailing Address - Fax:
Practice Address - Street 1:20474 VINE DR
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-6501
Practice Address - Country:US
Practice Address - Phone:313-283-9868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition