Mane Haven Hair Rejuvenation
Prosthetist in Beulaville, NC. Organization (NPI-2).
NPI number1134087828
StatusActive
Last updated in NPPESJan 12, 2026
Details
- NPI
- 1134087828
- Entity type
- Organization (NPI-2)
- Legal business name
- Mane Haven Hair Rejuvenation
- Organization subpart
- Yes
- Enumeration date
- Jan 12, 2026
- Certification date
- Jan 12, 2026
- Last updated
- Jan 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | – | – | Yes |
Practice location
106 S Brown RdBeulaville, NC 28518-8845
Phone 910-385-5596
Mailing address
106 S Brown RdBeulaville, NC 28518-8845
Phone 910-385-5559
Authorized official
Joy Serena Kennedy
Owner
9103855596
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