Organization
INTENSE HOLISTIC HEALING HANDS
Active
Other names
Intense Holistic Hands Spa
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL JANUARY (OWNER)
(313) 449-7101
Entity
Organization
Contact information
Practice address
8245 VALLEY VIEW CIR APT 132C, WESTLAND, MI 48185-5511
(313) 449-7101
Mailing address
8245 VALLEY VIEW CIR APT 132C, WESTLAND, MI 48185-5511
(313) 449-7101
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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