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MOTHERS FRIEND MATERNAL INFANT SUPPORT SERVICES NPI 1891853479


NPI Information

NPI: 1891853479
Provider Name: MOTHERS FRIEND MATERNAL INFANT SUPPORT SERVICES
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
16250 NORTHLAND DR
SUITE 239
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 559-5722
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MOTHERS FRIEND MATERNAL INFANT SUPPORT SERVICES is a public health and general preventive medicine preventive medicine in Southfield, MI. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. MOTHERS FRIEND MATERNAL INFANT SUPPORT SERVICES NPI is 1891853479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16250 NORTHLAND DR
SUITE 239
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 559-5722
Fax: (248) 559-5622

The provider's authorized official is Dashuna Relieu Johnson .
The authorized official title is Rn Coordinator/ceo and has the following contact phone number (248) 559-5722.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 4/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14556235MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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