Provider Demographics
NPI:1689847196
Name:INFANT RESOURCES
Entity Type:Organization
Organization Name:INFANT RESOURCES
Other - Org Name:MOMMY AND ME @ HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-310-0321
Mailing Address - Street 1:1679 W NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3100
Mailing Address - Country:US
Mailing Address - Phone:817-310-0321
Mailing Address - Fax:817-310-0266
Practice Address - Street 1:1679 W NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3100
Practice Address - Country:US
Practice Address - Phone:817-310-0321
Practice Address - Fax:817-310-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care