Provider Demographics
NPI:1497499313
Name:MOMMY MAID CLEANING LLC
Entity Type:Organization
Organization Name:MOMMY MAID CLEANING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-701-2105
Mailing Address - Street 1:2652 SPRING ARBOR RD STE 1
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-3604
Mailing Address - Country:US
Mailing Address - Phone:517-701-2105
Mailing Address - Fax:
Practice Address - Street 1:2652 SPRING ARBOR RD STE 1
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-3604
Practice Address - Country:US
Practice Address - Phone:517-701-2105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health