Provider Demographics
NPI:1740086420
Name:PARADISE OF BEAUTY LLC
Entity type:Organization
Organization Name:PARADISE OF BEAUTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRECIOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-412-9000
Mailing Address - Street 1:17200 W 10 MILE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2998
Mailing Address - Country:US
Mailing Address - Phone:313-412-9000
Mailing Address - Fax:
Practice Address - Street 1:17200 W 10 MILE RD STE 106
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2998
Practice Address - Country:US
Practice Address - Phone:313-412-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-22
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment