Provider Demographics
NPI:1497289219
Name:MAGNETIC OPULENT PRODUCTIONS
Entity Type:Organization
Organization Name:MAGNETIC OPULENT PRODUCTIONS
Other - Org Name:HANDS OF COMFORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DELISHA
Authorized Official - Middle Name:LASHA
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:567-277-2056
Mailing Address - Street 1:384 MOORISH AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-8412
Mailing Address - Country:US
Mailing Address - Phone:567-277-2056
Mailing Address - Fax:
Practice Address - Street 1:384 MOORISH AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-8412
Practice Address - Country:US
Practice Address - Phone:567-277-2056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health