Provider Demographics
NPI:1720327315
Name:SWEET DREAMS INFANT CARE
Entity type:Organization
Organization Name:SWEET DREAMS INFANT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PORREY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, MA, PCD (DONA)
Authorized Official - Phone:708-429-2229
Mailing Address - Street 1:8614 TULLAMORE DR
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60487-4499
Mailing Address - Country:US
Mailing Address - Phone:708-429-2229
Mailing Address - Fax:815-464-8096
Practice Address - Street 1:17594 DRUMMOND DR
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60487-7671
Practice Address - Country:US
Practice Address - Phone:708-429-2229
Practice Address - Fax:815-464-8096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-03
Last Update Date:2013-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty