Provider Demographics
NPI:1235957697
Name:MY LIGHTS AND MORE LLC
Entity type:Organization
Organization Name:MY LIGHTS AND MORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-508-3747
Mailing Address - Street 1:3941 CADIEUX RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-2352
Mailing Address - Country:US
Mailing Address - Phone:248-508-3747
Mailing Address - Fax:
Practice Address - Street 1:1601 ROBERT BRADBY DR APT 209
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-3843
Practice Address - Country:US
Practice Address - Phone:248-508-3747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health