Provider Demographics
NPI:1548606221
Name:ALL MY CHILDREN
Entity Type:Organization
Organization Name:ALL MY CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:VANESSA
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-585-1622
Mailing Address - Street 1:17301 LIVERNOIS AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2758
Mailing Address - Country:US
Mailing Address - Phone:313-585-1622
Mailing Address - Fax:313-342-9674
Practice Address - Street 1:17301 LIVERNOIS AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2758
Practice Address - Country:US
Practice Address - Phone:313-585-1622
Practice Address - Fax:313-342-9674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1124123443OtherAPPLIED FOR MEDICARE