Provider Demographics
NPI:1245717628
Name:BEAUTIFUL BABIES
Entity type:Organization
Organization Name:BEAUTIFUL BABIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-646-1298
Mailing Address - Street 1:19915 WOODMONT ST
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-1872
Mailing Address - Country:US
Mailing Address - Phone:313-646-1298
Mailing Address - Fax:
Practice Address - Street 1:19915 WOODMONT ST
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-1872
Practice Address - Country:US
Practice Address - Phone:313-646-1298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care