Abyssinin Loveknot LLC
in Oak Park, MI. Organization (NPI-2).
NPI number1881908283
StatusActive
Last updated in NPPESJul 28, 2010
Details
- NPI
- 1881908283
- Entity type
- Organization (NPI-2)
- Legal business name
- Abyssinin Loveknot LLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2010
- Last updated
- Jul 28, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | – | – | Yes |
Practice location
21700 Greenfield Rd215b
Oak Park, MI 48237-2581
Phone 248-968-6899
Mailing address
21700 Greenfield Rd215b
Oak Park, MI 48237-2581
Authorized official
Malik Fuqua
Owner
2489686899
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