Organization
HOLLYWOOD HOSIERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ALLEN (LICENSED COSMETOLOGIST)
(313) 917-6769
Entity
Organization
Contact information
Practice address
15801 PROVIDENCE DR APT 12F, SOUTHFIELD, MI 48075-3138
(313) 917-6769
Mailing address
15801 PROVIDENCE DR APT 12F, SOUTHFIELD, MI 48075-3138
(313) 917-6769
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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