Provider Demographics
NPI:1780464453
Name:A TWIN WITH A WARM HEART LLC
Entity type:Organization
Organization Name:A TWIN WITH A WARM HEART LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:248-991-7835
Mailing Address - Street 1:204 OTTAWA DR
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-2044
Mailing Address - Country:US
Mailing Address - Phone:248-991-7835
Mailing Address - Fax:
Practice Address - Street 1:204 OTTAWA DR
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-2044
Practice Address - Country:US
Practice Address - Phone:248-991-7835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health