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MALIBU GROUP LLC NPI 1366956583


NPI Information

NPI: 1366956583
Provider Name: MALIBU GROUP LLC

Doing Business As: REMEDY LICE BOUTIQUE

Classification: Technician, Other - 247200000X
Entity Type: Organization
Address:
5258 PLAINFIELD AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 635-2398
Get Directions

MALIBU GROUP LLC is a technician other in Grand Rapids, MI. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MALIBU GROUP LLC NPI is 1366956583. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Remedy Lice Boutique.

The provider's business location address is:

5258 PLAINFIELD AVE NE
GRAND RAPIDS, MI
ZIP 49525-092
Phone: (616) 635-2398

The provider's authorized official is Corinn Nichols .
The authorized official title is Manager and has the following contact phone number (616) 450-4125.

The enumeration date for this NPI number is 11/27/2017 and was last updated on 11/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1247200000XTechnician, OtherYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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