MEDICARE: BABIES R PRECIOUS 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1881004349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABIES R PRECIOUS LLC

Provider Business Mailing Address
First Line	:	5745 MAYBURN ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3207
Country	:	US
Telephone Number	:	313-768-5535
Fax Number	:	866-475-0014

Provider Business Practice Location Address
First Line	:	5745 MAYBURN ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3207
Country	:	US
Telephone Number	:	313-768-5535
Fax Number	:	866-475-0014

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. VERONICA DIANA OSBURN
Credential	:	SOCIAL WORKER
Telephone Number	:	313-768-5535

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

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