Provider Demographics
NPI:1750133138
Name:PAMPER LITTLE ME LLC
Entity type:Organization
Organization Name:PAMPER LITTLE ME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH CARE
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-704-1014
Mailing Address - Street 1:8412 FISHER AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-3049
Mailing Address - Country:US
Mailing Address - Phone:313-704-1014
Mailing Address - Fax:
Practice Address - Street 1:8412 FISHER AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48089-3049
Practice Address - Country:US
Practice Address - Phone:313-704-1014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAMPER LITTLE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty