Provider Demographics
NPI:1033806492
Name:LABORING FRUITS LLC
Entity Type:Organization
Organization Name:LABORING FRUITS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONGALA
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA
Authorized Official - Phone:313-719-8199
Mailing Address - Street 1:19195 FREELAND ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-1902
Mailing Address - Country:US
Mailing Address - Phone:313-719-8199
Mailing Address - Fax:
Practice Address - Street 1:19195 FREELAND ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1902
Practice Address - Country:US
Practice Address - Phone:313-719-8199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty