Organization
EBONY GODDESS TOUCH LLC
Active
Other names
EBONY GODDESS TOUCH LLC, EBONY GODDESS TOUCH
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY I THOMAS (OWNER)
(586) 278-8706
Entity
Organization
Contact information
Practice address
4375 NOTTINGHAM RD, DETROIT, MI 48224-3421
(586) 278-8706
Mailing address
4375 NOTTINGHAM RD, DETROIT, MI 48224-3421
(586) 278-8706
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265984843
—
MI
Enumeration date
03/19/2024
Last updated
03/19/2024
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