MEDICARE: FEEDING NINOS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1902755713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEEDING NINOS, LLC

Provider Business Mailing Address
First Line	:	16575 WILDEMERE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-3160
Country	:	US
Telephone Number	:	313-338-8091
Fax Number	:

Provider Business Practice Location Address
First Line	:	16575 WILDEMERE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-3160
Country	:	US
Telephone Number	:	313-338-8091
Fax Number	:

Authorized Official
Title or Position	:	PEDIATRIC OCCUPATIONAL THERAPIST
Name	:	MRS. AMMA PEROZO MORLES
Credential	:	MOT, OTR/L, CLC
Telephone Number	:	313-338-8091

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	02/03/2026

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Directions to “FEEDING NINOS, LLC ” Practice Location

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