# LULLABY BABY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043568207
- **Authorized official:** MS. NANCY EVANS MA.,LBSW (DIRECTOR)
- **Authorized official phone:** (586) 604-0582

## Contact information

- **Practice address:** 16484 RADISON DR, MACOMB, MI 48044-4078
- **Practice address phone:** (586) 604-0582
- **Mailing address:** 16484 RADISON DR, MACOMB, MI 48044-4078
- **Mailing address phone:** (586) 604-0582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 597122 | MI | Yes |

## Other

- **Enumeration date:** 08/20/2012
- **Last updated:** 08/20/2012