Provider Demographics
NPI:1376803049
Name:YOUNG FAMILIES PEDIATRIC SERVICES PLC
Entity Type:Organization
Organization Name:YOUNG FAMILIES PEDIATRIC SERVICES PLC
Other - Org Name:YOUNG FAMILIES YOUNG LIVES PEDIATRIC THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:734-634-3455
Mailing Address - Street 1:PO BOX 51098
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48151-5098
Mailing Address - Country:US
Mailing Address - Phone:734-634-3455
Mailing Address - Fax:
Practice Address - Street 1:36712 RICHLAND ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2510
Practice Address - Country:US
Practice Address - Phone:734-634-3455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty