Healthcare Provider Details

I. General information

NPI: 1750133138
Provider Name (Legal Business Name): PAMPER LITTLE ME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8412 FISHER AVE
WARREN MI
48089-3049
US

IV. Provider business mailing address

8412 FISHER AVE
WARREN MI
48089-3049
US

V. Phone/Fax

Practice location:
  • Phone: 313-704-1014
  • Fax:
Mailing address:
  • Phone: 313-704-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ANGEL R THOMAS
Title or Position: HEALTH CARE
Credential:
Phone: 313-704-1014