Provider Demographics
NPI:1619388519
Name:BABIES R ANGELS 2
Entity Type:Organization
Organization Name:BABIES R ANGELS 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-238-3512
Mailing Address - Street 1:579 CASHEW ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-7306
Mailing Address - Country:US
Mailing Address - Phone:734-238-3512
Mailing Address - Fax:734-902-5977
Practice Address - Street 1:5467 S BEECH DALY ST # B
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48125-1709
Practice Address - Country:US
Practice Address - Phone:734-238-3512
Practice Address - Fax:734-902-5977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care