# PERPETUAL BLISS MIHP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093133720
- **Authorized official:** MARIA DIANA R REBOYA RD (CEO)
- **Authorized official phone:** (248) 722-4860

## Contact information

- **Practice address:** 25321 5 MILE RD, SUITE 8, REDFORD, MI 48239-3700
- **Practice address phone:** (248) 722-4860
- **Mailing address:** 28720 BAYBERRY CT W, LIVONIA, MI 48154-3867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | E39986 | MI | Yes |

## Other

- **Enumeration date:** 03/31/2014
- **Last updated:** 06/11/2014