Organization
KISS KISSABLE KIDS LLC
Active
Other names
KISS KISSABLE KIDS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WINDY HARRIS (DIRECTOR OF OPERATIONS)
(734) 744-9518
Entity
Organization
Contact information
Practice address
32461 SCHOOLCRAFT RD, LIVONIA, MI 48150-4300
(734) 444-9518
(734) 744-9520
Mailing address
32461 SCHOOLCRAFT RD, LIVONIA, MI 48150-4300
(734) 444-9518
(734) 744-9520
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
10/17/2016
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