| Organization Name: | PERPETUAL BLISS MIHP LLC |
| NPI Number: | 1093133720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIA DIANA R REBOYA (CEO) |
| Mailing Address: | 25321 5 Mile Rd Suite 8 Redford |
| State: | MI US |
| Postal Code: | 482393700 |
| Phone Number: | 2487224860 |
| Fax Number: | |
| NPI Enumeration Date: | 03/31/2014 |
| NPI Last Update Date: | 06/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | E39986 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |