National Provider Identifier Database

MOM
Nursing Care

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.


Contact Information

M.O.M
9276 MONROE RD
LAKE, MI48632-9108
Phone: 616-594-4465
Fax:
Website:
Specialty Taxonomy Code
* Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for M.O.M

NPI Number 1982964144
Legal business name
LBN
M.O.M
Authorized official SYLVIA DUFLO - (CERTIFIED NURSE AIDE)
Entity Organization
Organization subpart No
Enumeration date 05/22/2012
Last updated 05/22/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 230006976540402

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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