Provider Demographics
NPI:1871073635
Name:M&M DEVELOPMENT & MANAGEMENT LLC
Entity type:Organization
Organization Name:M&M DEVELOPMENT & MANAGEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:MHMA, BHMA
Authorized Official - Phone:810-339-6115
Mailing Address - Street 1:3118 MCCLURE AVE
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48506-2536
Mailing Address - Country:US
Mailing Address - Phone:810-288-0958
Mailing Address - Fax:810-715-9799
Practice Address - Street 1:3900 HAMMERBERG RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-6022
Practice Address - Country:US
Practice Address - Phone:810-288-0958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7948840251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health