Healthcare Provider Details

I. General information

NPI: 1942193925
Provider Name (Legal Business Name): EXQUISITE PERINATAL DELIGHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5053 BURNS ST
DETROIT MI
48213-2910
US

IV. Provider business mailing address

5053 BURNS ST
DETROIT MI
48213-2910
US

V. Phone/Fax

Practice location:
  • Phone: 313-926-0708
  • Fax:
Mailing address:
  • Phone: 313-926-0708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MRS. TEWONIA LEE ALAMU
Title or Position: PERINATAL HEALTH PROFESSIONAL
Credential: MSW, DO
Phone: 313-926-0708