# PERIPHERAL INDUSTRIES LLC

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

## Provider details

- **NPI number:** 1336919539
- **Authorized official:** KRISTELE DYER LPN (MANAGER)
- **Authorized official phone:** (248) 895-9348

## Contact information

- **Practice address:** 16828 FENMORE ST, DETROIT, MI 48235-3338
- **Practice address phone:** (248) 895-9348
- **Mailing address:** 43311 JOY RD \# 274, CANTON, MI 48187-2075
- **Mailing address phone:** (248) 895-9348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 01/08/2024