Organization · NPI-2
Natures Natural Mobile Spa
Health Maintenance Organization · Detroit, MI
NPI number1295180834
StatusActive
Last updated in NPPESMay 2, 2016
Details
- NPI
- 1295180834
- Entity type
- Organization (NPI-2)
- Legal business name
- Natures Natural Mobile Spa
- Organization subpart
- No
- Enumeration date
- May 2, 2016
- Last updated
- May 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
| 302F00000X | Exclusive Provider Organization | – | – | |
| 305R00000X | Preferred Provider Organization | – | – | |
| 305S00000X | Point of Service | – | – |
Practice location
3008 Marlborough StDetroit, MI 48215-2536
Phone 586-277-0102
Mailing address
3008 Marlborough StDetroit, MI 48215-2536
Authorized official
Rayshawnda Riley
Owner
3139741793
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