Provider Demographics
NPI:1093575292
Name:THE NURTURING PROVIDERS
Entity Type:Organization
Organization Name:THE NURTURING PROVIDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYESHA
Authorized Official - Middle Name:CIERRA
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-870-8986
Mailing Address - Street 1:34633 CLARKSON DR E APT 64
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:MI
Mailing Address - Zip Code:48026-3502
Mailing Address - Country:US
Mailing Address - Phone:248-870-8986
Mailing Address - Fax:
Practice Address - Street 1:34633 CLARKSON DR E APT 64
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:MI
Practice Address - Zip Code:48026-3502
Practice Address - Country:US
Practice Address - Phone:248-870-8986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care