MEDICARE: THE NEST CHILD CARE AND PARENT INSTITUTE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1881098820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NEST CHILD CARE AND PARENT INSTITUTE

Provider Business Mailing Address
First Line	:	634 ATKINSON ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-1518
Country	:	US
Telephone Number	:	313-575-3848
Fax Number	:

Provider Business Practice Location Address
First Line	:	634 ATKINSON ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-1518
Country	:	US
Telephone Number	:	313-575-3848
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JOY DEAN
Credential	:
Telephone Number	:	313-575-3848

Provider Enumeration Date	:	10/20/2014
Last Update Date	:	10/20/2014

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