Provider Demographics
NPI:1427490044
Name:COMFORTING MOMS AND BABIES,LLC
Entity type:Organization
Organization Name:COMFORTING MOMS AND BABIES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-395-5265
Mailing Address - Street 1:17250 W 12 MILE RD
Mailing Address - Street 2:STE 111
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2127
Mailing Address - Country:US
Mailing Address - Phone:248-395-5265
Mailing Address - Fax:248-395-5266
Practice Address - Street 1:17250 W 12 MILE RD
Practice Address - Street 2:STE 111
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2127
Practice Address - Country:US
Practice Address - Phone:248-395-5265
Practice Address - Fax:248-395-5266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care