Organization · NPI-2

Dream Hair Care

Prosthetic/Orthotic Supplier · Hattiesburg, MS

NPI number1154945418
StatusActive
Last updated in NPPESJun 2, 2020

Details

NPI
1154945418
Entity type
Organization (NPI-2)
Legal business name
Dream Hair Care
Organization subpart
No
Enumeration date
Jun 2, 2020
Certification date
Jun 2, 2020
Last updated
Jun 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

4401 W 4th St Ste E
Hattiesburg, MS 39402-1006

Phone 601-618-5467 · Fax 208-400-5298

Mailing address

4401 W 4th St Ste E
Hattiesburg, MS 39402-1006

Phone 601-618-5467 · Fax 208-400-5298

Authorized official

Darnisha Winters
Owner
6016185467

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