Provider Demographics
NPI:1447611967
Name:LOVING MOTHERS
Entity Type:Organization
Organization Name:LOVING MOTHERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRITOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:OKEH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:586-530-0627
Mailing Address - Street 1:52962 WENDOVER DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-2965
Mailing Address - Country:US
Mailing Address - Phone:586-530-0627
Mailing Address - Fax:
Practice Address - Street 1:52962 WENDOVER DR
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48316-2965
Practice Address - Country:US
Practice Address - Phone:586-530-0627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704134479251J00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare