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Organization

MINDS OF MOMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMIE KING (RN)
(313) 613-0485
Entity
Organization

Contact information

Practice address
22927 LAKESHORE DR, SAINT CLAIR SHORES, MI 48080-2716
(313) 613-0485
Mailing address
PO BOX 5746, DETROIT, MI 48205-0746

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
04/22/2014
Last updated
04/22/2014
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