Organization
HEALTHY LITTLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CLEMONS (OWNER)
(313) 258-4143
Entity
Organization
Contact information
Practice address
8439 CHRISTINE ST, WARREN, MI 48093-4915
(313) 258-4143
Mailing address
8439 CHRISTINE ST, WARREN, MI 48093-4915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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