Organization · NPI-2
Absolutely Amazing Salon
Prosthetic/Orthotic Supplier · Birmingham, AL
NPI number1083005813
StatusActive
Last updated in NPPESFeb 16, 2015
Details
- NPI
- 1083005813
- Entity type
- Organization (NPI-2)
- Legal business name
- Absolutely Amazing Salon
- Organization subpart
- No
- Enumeration date
- Feb 16, 2015
- Last updated
- Feb 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | 134791 | AL | Yes |
Practice location
2227 Arlington AvenueBirmingham, AL 35205
Phone 205-502-7412
Mailing address
721 Avenue HBirmingham, AL 35214-6151
Phone 310-413-2385
Authorized official
Cassandra Churchill
Manager/Owner
2055027412
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