DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAGNOLYA LANTYRN & LAUREL PORCHLYGHT INC

MEDICARE: MAGNOLYA LANTYRN & LAUREL PORCHLYGHT INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1265398945
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAGNOLYA LANTYRN & LAUREL PORCHLYGHT INC
Provider Business Mailing Address
First Line : 14700 TIREMAN ST APT 2
Second Line :
City : DETROIT
State : MI
Zip : 48228-2757
Country : US
Telephone Number : 313-439-0442
Fax Number :
Provider Business Practice Location Address
First Line : 14700 TIREMAN ST APT 2
Second Line :
City : DETROIT
State : MI
Zip : 48228-2757
Country : US
Telephone Number : 313-439-0442
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JENNIFER L EVON
Credential :
Telephone Number : 313-439-0442
Provider Enumeration Date : 12/26/2025
Last Update Date : 12/26/2025

Similar Medicare Providers

1316826993 — JANIYAH GLOBAL HARMONICS LLC
Practice Location Address:
14700 TIREMAN ST APT 2
DETROIT, MI
48228-2757
Practice Phone: 313-439-0442
Practice Fax:
1821979485 — ZAANAHIA AURIC VELOCITIES LLC
Practice Location Address:
14700 TIREMAN ST APT 2
DETROIT, MI
48228-2757
Practice Phone: 313-439-0442
Practice Fax:
1548141179 — JENNIFER L EVON
Practice Location Address:
14700 TIREMAN ST APT 2
DETROIT, MI
48228-2757
Practice Phone: 313-439-0442
Practice Fax: 313-439-0442
1679454177 — AURELIA WELLSPRING FREQUENCIES LLC
Practice Location Address:
14700 TIREMAN ST APT 2
DETROIT, MI
48228-2757
Practice Phone: 313-439-0442
Practice Fax:
1700752896 — ZUREKAI INC
Practice Location Address:
14700 TIREMAN ST APT 2
DETROIT, MI
48228-2757
Practice Phone: 313-439-0442
Practice Fax:
1437025475 — SOULSTEAD ECHO RIDGE LLC
Practice Location Address:
14700 TIREMAN ST APT 2
DETROIT, MI
48228-2757
Practice Phone: 313-439-0442
Practice Fax:

Directions to “MAGNOLYA LANTYRN & LAUREL PORCHLYGHT INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.