Organization
MATERNAL BLISS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIYA S HAGGARD BBA, CLC, BSN, RN (CHIEF EXECUTIVE OFFICER/RN)
(248) 606-5129
Entity
Organization
Contact information
Practice address
440 BURROUGHS ST STE 655, DETROIT, MI 48202-3475
(248) 606-5129
Mailing address
440 BURROUGHS ST STE 655, DETROIT, MI 48202-3475
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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