Organization
BABY.COM MHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN DENEEN LIDDELL MSW (OWNER)
(734) 837-5337
Entity
Organization
Contact information
Practice address
2325 S VENOY RD, WESTLAND, MI 48186-4662
(734) 827-5337
Mailing address
2325 S VENOY RD, WESTLAND, MI 48186-4662
(734) 827-5337
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6801079183
MI
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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