Provider Demographics
NPI:1568737963
Name:I BELIEVE INFANT PROGRAM
Entity Type:Organization
Organization Name:I BELIEVE INFANT PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:MADISON
Authorized Official - Last Name:BREMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-266-9340
Mailing Address - Street 1:33250 WARREN RD STE 17
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-2920
Mailing Address - Country:US
Mailing Address - Phone:734-266-9340
Mailing Address - Fax:734-266-9350
Practice Address - Street 1:33250 WARREN RD STE 17
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-2920
Practice Address - Country:US
Practice Address - Phone:734-266-9340
Practice Address - Fax:734-266-9350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care