Organization
A MOTHER'S PROMISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ANN REID-WHITAKER (EXECUTIVE DIRECTOR)
(313) 768-8613
Entity
Organization
Contact information
Practice address
13123 E WARREN AVE, DETROIT, MI 48215-2016
(313) 768-8613
(313) 469-7313
Mailing address
1033 MARYLAND ST, GROSSE POINTE PARK, MI 48230-1365
(313) 768-8613
(313) 469-7313
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015828
HOME HELPER PROVIDER
MI
Enumeration date
10/15/2010
Last updated
10/15/2010
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