Healthcare Provider Details

I. General information

NPI: 1578491270
Provider Name (Legal Business Name): CHERISH TRU LUXURY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7224 HELEN
CENTER LINE MI
48015-1808
US

IV. Provider business mailing address

7224 HELEN
CENTER LINE MI
48015-1808
US

V. Phone/Fax

Practice location:
  • Phone: 586-301-9802
  • Fax:
Mailing address:
  • Phone: 313-435-6030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ANGELIQUE HAIRSTON
Title or Position: CEO
Credential:
Phone: 586-301-9802