Organization
MOTHERS AND INFANT SUPPORT
Active
Other names
Mothers and Infant support
Organization subpart
No
Provider details
NPI number
Authorized official
ATHRAA HADDAD ASW (OWNER)
(586) 601-6434
Entity
Organization
Contact information
Practice address
36843 KYRO CT, STERLING HEIGHTS, MI 48310-4600
(586) 601-6434
Mailing address
36843 KYRO CT, STERLING HEIGHTS, MI 48310-4600
(586) 601-6434
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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