MJO DERMAL RESCUE INC (NPI# 1013274844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013274844 |
Entity Type | Organization |
Organization Name | MJO DERMAL RESCUE INC |
Other Organization Name | OUR LITTLE SECRET AESTHETICS |
Practice Address |
4181 Windmill Farms Milford MI 48380-4279 |
Practice Telephone | 2488044323 |
Mailing Telephone | 2488044323 |
Enumeration Date | 2012-04-18 |
Last Update Date | 2012-04-18 |
Authorized Official Name | MRS. MARY JO OLDFORD (PRESIDENT) |
Authorized Official Telephone | 2488044323 |
Authorized Official Credential | N.P. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
Nursing Service Providers |
Other Name | Type Code |
---|---|
Our Little Secret Aesthetics | Doing Business As Name - Organization |
Street Address |
4181 WINDMILL FARMS |
City | MILFORD |
State | MI |
Zip Code | 48380-4279 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114197167 | Mary Jo Oldford | Nurse Practitioner | 4181 Windmill Farms, Milford, MI 48380-4279 | 2008-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710476569 | Amanda Williams | Social Worker | Ignacio L. Vallarta No. 130, #308, Puerto Vallarta, JALISCO 48380 | 2018-05-08 |
1851717417 | Operadora Jobara Sa De Cv | General Acute Care Hospital | Manuel M Dieguez No. 360, Col. Emiliano Zapata, Puerto Vallarta, JALISCO 48380 | 2014-03-06 |
1578896767 | Colleen Davis | Speech-Language Pathologist | 3123 Delrose St, Milford, MI 48380 | 2009-09-07 |
1306356928 | Respectabilities LLC | Home Health | 3045 Hillside Dr, Milford, MI 48380 | 2017-10-10 |
1881159952 | Brian Duncan | Acupuncturist | 928 S Tipsico Lake Rd, Milford, MI 48380-1024 | 2019-02-04 |
1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
1053835678 | Bruce Eugene Perrault | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2017-07-26 |
1437364221 | Lynn Marie Gallagher | Speech-Language Pathologist | 1630 Newberry, Milford, MI 48380-1712 | 2007-05-14 |
1669945721 | Thomas John Karpinski Jr. | Counselor | 3174 Katie Ln, Milford, MI 48380-2021 | 2019-01-10 |
1750921417 | Keisa Lavette Clark | Behavior Technician | 3119 Bradford Ct, Milford, MI 48380-2034 | 2020-01-10 |
Find all providers in zip 48380 |
Taxonomy Code | 163WW0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Wound Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356777155 | Susan Kay Kruzell | Registered Nurse | 2080 N Huron Rd, Pinconning, MI 48650-7465 | 2013-09-25 |
1427611870 | Douglas Kozeluh | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2019-04-20 |
1770843815 | Erica Louise Foster | Registered Nurse | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2012-05-23 |
1992885552 | Catherine Shaughnessy Brennan | Registered Nurse | 2316 S Cedar St, Suite 100, Lansing, MI 48910-3152 | 2006-10-17 |
Please comment or provide details below to improve the information on MJO DERMAL RESCUE INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.