Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Malibu Group LLC

Organization Other Technician · NPI 1366956583

Malibu Group LLC is an Other Technician in Grand Rapids, Michigan. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5258 Plainfield Ave NE
Grand Rapids, MI 49525-1092
Phone: (616) 635-2398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1366956583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corinn Nichols — Manager · (616) 450-4125
Other names Remedy Lice Boutique
NPI enumeratedNovember 27, 2017
Last updated in NPPESNovember 27, 2017
Mailing address4075 Yarrow Dr Ne, Grand Rapids, MI 49525-9531

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