MEDICARE: BABY BRIGHT, INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1508276338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABY BRIGHT, INC.

Provider Business Mailing Address
First Line	:	33344 GRAND RIVER AVE
Second Line	:
City	:	FARMINGTON
State	:	MI
Zip	:	48336-3124
Country	:	US
Telephone Number	:	313-492-4488
Fax Number	:	248-284-1046

Provider Business Practice Location Address
First Line	:	33344 GRAND RIVER AVE
Second Line	:
City	:	FARMINGTON
State	:	MI
Zip	:	48336-3124
Country	:	US
Telephone Number	:	313-492-4488
Fax Number	:	248-284-1046

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. MICHAEL FERA
Credential	:
Telephone Number	:	313-492-4488

Provider Enumeration Date	:	05/01/2014
Last Update Date	:	05/16/2014

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Directions to “BABY BRIGHT, INC. ” Practice Location

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