Provider Demographics
NPI:1518377886
Name:MATERNAL BEGINNINGS INC
Entity type:Organization
Organization Name:MATERNAL BEGINNINGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHONNISE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-633-5644
Mailing Address - Street 1:18301 E 8 MILE RD STE 109
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3226
Mailing Address - Country:US
Mailing Address - Phone:313-633-5644
Mailing Address - Fax:586-779-8511
Practice Address - Street 1:18301 E 8 MILE RD STE 109
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3226
Practice Address - Country:US
Practice Address - Phone:313-633-5644
Practice Address - Fax:586-779-8511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No253Z00000XAgenciesIn Home Supportive Care