Healthcare Provider Details

I. General information

NPI: 1730036633
Provider Name (Legal Business Name): NMJ ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38133 DRAY DR
STERLING HEIGHTS MI
48310-3052
US

IV. Provider business mailing address

38133 DRAY DR
STERLING HEIGHTS MI
48310-3052
US

V. Phone/Fax

Practice location:
  • Phone: 586-747-3930
  • Fax:
Mailing address:
  • Phone: 586-747-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: LAITH YOUSIF
Title or Position: OWNER
Credential:
Phone: 586-747-3930