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REMEDY LICE BOUTIQUE
NPI 1366956583
Technician, Other in Grand Rapids, MI

Active since November 27, 2017
5258 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525(616) 635-2398 Get Directions Write a Review

NPPES record last updated: November 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Remedy Lice Boutique NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REMEDY LICE BOUTIQUE (NPI 1366956583) is a healthcare organization registered as a technician, other in Grand Rapids, Michigan and active in the NPI registry since November 2017. The organization lists Corinn Nichols, Manager, as its authorized official.

NPPES Registry Identity

NPI1366956583
Entity TypeOrganization
Primary Taxonomy247200000X
Legal Business NameMALIBU GROUP LLC
Location Address5258 PLAINFIELD AVE NEGrand Rapids, MI 49525-1092
Mailing Address4075 Yarrow Dr NeGrand Rapids, MI 49525-9531
Phone(616) 635-2398
Organization SubpartNo
Authorized OfficialCorinn NicholsManager · (616) 450-4125
Enumeration DateNovember 27, 2017
✔ NPI 1366956583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
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.
5258 PLAINFIELD AVE NE, Grand Rapids, MI 49525
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Other Names 1

Doing Business AsRemedy Lice Boutique

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER JENKINSON DPT
Physical Therapist
5258 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 719-0490
DR. PATRICK HOLSER O.D.
Optometrist
5258 PLAINFIELD AVE NE, SUITE F
GRAND RAPIDS, MI 49525
Kent County (616) 361-2020
ADVANCED EYE CARE OF GRAND RAPIDS, PLC
Optometrist
5258 PLAINFIELD AVE NE, SUITE F
GRAND RAPIDS, MI 49525
Kent County (616) 361-2020
CAMERON BERGHORST
Specialist/Technologist, Pathology
5258 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 719-0490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malibu Group LLC's NPI number?

The NPI number for Malibu Group LLC is 1366956583. It was assigned to this organization in the NPPES registry on November 27, 2017. The provider is doing business as Remedy Lice Boutique.

Where is Malibu Group LLC located?

Malibu Group LLC is located at 5258 Plainfield Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 635-2398.

What is Malibu Group LLC's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Malibu Group LLC was last updated on November 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.