Provider Demographics
NPI:1861421158
Name:ORAS CHILD INC
Entity type:Organization
Organization Name:ORAS CHILD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:MEVELYN
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-477-2729
Mailing Address - Street 1:23415 FARMINGTON ROAD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336
Mailing Address - Country:UM
Mailing Address - Phone:248-477-2729
Mailing Address - Fax:248-477-5089
Practice Address - Street 1:23415 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-3105
Practice Address - Country:US
Practice Address - Phone:248-477-2729
Practice Address - Fax:248-477-5089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI874207225Medicaid
MI0H71502OtherBCBS OF MI
MI530H217390OtherBCBS OF MI ID NO.
MI1313360001OtherHEALTH ALLIANCE PLAN
MI874207225Medicaid