Provider Demographics
NPI:1649588294
Name:WELL MOMS HAVE WELL BABIES
Entity Type:Organization
Organization Name:WELL MOMS HAVE WELL BABIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIHP DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AZIZA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:313-623-0818
Mailing Address - Street 1:3340 MCPHERSON ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48212-2668
Mailing Address - Country:US
Mailing Address - Phone:313-623-0818
Mailing Address - Fax:
Practice Address - Street 1:3340 MCPHERSON ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48212-2668
Practice Address - Country:US
Practice Address - Phone:313-623-0818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care