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Modern Day Midwifery LLC

Early Intervention Provider Agency in Allen Park, MI. Organization (NPI-2).

NPI number1982149894
StatusActive
Last updated in NPPESJan 1, 2017

Details

NPI
1982149894
Entity type
Organization (NPI-2)
Legal business name
Modern Day Midwifery LLC
Organization subpart
No
Enumeration date
Jan 1, 2017
Last updated
Jan 1, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency––Yes

Practice location

15596 Thomas Ave
Allen Park, MI 48101-1948

Phone 734-812-9978

Mailing address

15596 Thomas Ave
Allen Park, MI 48101-1948

Phone 734-812-9978

Authorized official

Jamie Kristin Rekuc
Birth Doula Apprentice Midwife
7348129978

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