Organization
MOMMAS HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA HOLLY (OWNER)
(734) 695-9146
Entity
Organization
Contact information
Practice address
279 CHURCH ST, BELLEVILLE, MI 48111-2627
(313) 642-5372
Mailing address
279 CHURCH ST, BELLEVILLE, MI 48111-2627
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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