Provider Demographics
NPI:1992680656
Name:MOMZLIFE SERVICES
Entity type:Organization
Organization Name:MOMZLIFE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:MIMOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:LABRANCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-385-3554
Mailing Address - Street 1:4550 LANTANA RD STE A3
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6997
Mailing Address - Country:US
Mailing Address - Phone:561-385-3554
Mailing Address - Fax:
Practice Address - Street 1:5845 CASSANDRA CT
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-4545
Practice Address - Country:US
Practice Address - Phone:561-385-3554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty