Provider Demographics
NPI:1366824120
Name:KIM'S BABIES
Entity Type:Organization
Organization Name:KIM'S BABIES
Other - Org Name:KIM'S TOYS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:J
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-864-6386
Mailing Address - Street 1:2601 W MCNICHOLS RD
Mailing Address - Street 2:#101
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-3230
Mailing Address - Country:US
Mailing Address - Phone:313-864-6386
Mailing Address - Fax:
Practice Address - Street 1:2601 W MCNICHOLS RD
Practice Address - Street 2:#101
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-3230
Practice Address - Country:US
Practice Address - Phone:313-864-6386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIM'S TOYS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802087568251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management