Provider Demographics
NPI:1003256249
Name:BEYOND BABY
Entity Type:Organization
Organization Name:BEYOND BABY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NORVETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER-STROZIER
Authorized Official - Suffix:
Authorized Official - Credentials:BLSW
Authorized Official - Phone:313-850-9153
Mailing Address - Street 1:21243 BON HEUR ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1837
Mailing Address - Country:US
Mailing Address - Phone:313-850-9153
Mailing Address - Fax:
Practice Address - Street 1:21243 BON HEUR ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1837
Practice Address - Country:US
Practice Address - Phone:313-850-9153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care