Organization
PERPETUAL BLISS MIHP LLC
Active
Organization
PERPETUAL BLISS MIHP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DIANA R REBOYA RD (CEO)
(248) 722-4860
Entity
Organization
Contact information
Practice address
25321 5 MILE RD, SUITE 8, REDFORD, MI 48239-3700
(248) 722-4860
Mailing address
28720 BAYBERRY CT W, LIVONIA, MI 48154-3867
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
E39986
MI
Other
Enumeration date
03/31/2014
Last updated
06/11/2014
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