Provider Demographics
NPI:1730588443
Name:BELLIES, BABIES & BEYOND
Entity type:Organization
Organization Name:BELLIES, BABIES & BEYOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-353-8726
Mailing Address - Street 1:42273 CARRIAGE COVE CIR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3563
Mailing Address - Country:US
Mailing Address - Phone:734-353-8726
Mailing Address - Fax:
Practice Address - Street 1:42273 CARRIAGE COVE CIR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3563
Practice Address - Country:US
Practice Address - Phone:734-353-8726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management