Provider Demographics
NPI:1275393746
Name:ST. MARY'S HOME HELP CARE LLC
Entity Type:Organization
Organization Name:ST. MARY'S HOME HELP CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-520-1997
Mailing Address - Street 1:32820 WOODWARD AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-1029
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:32820 WOODWARD AVE STE 250
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-1029
Practice Address - Country:US
Practice Address - Phone:248-520-1997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health