| NPI | 1952247090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ALLEN Licensed Cosmetologist 313-917-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-04-28 |