Provider Demographics
NPI:1699071175
Name:BARRY & BARRY HOLDINGS, INC.
Entity type:Organization
Organization Name:BARRY & BARRY HOLDINGS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-305-1888
Mailing Address - Street 1:28004 CENTER OAKS CT
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-3360
Mailing Address - Country:US
Mailing Address - Phone:248-305-1888
Mailing Address - Fax:248-406-4362
Practice Address - Street 1:28004 CENTER OAKS CT
Practice Address - Street 2:SUITE 204
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-3360
Practice Address - Country:US
Practice Address - Phone:248-305-1888
Practice Address - Fax:248-406-4362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health