Organization · NPI-2

Southcoast Hair Options

Prosthetist · New Bedford, MA

NPI number1497290829
StatusActive
Last updated in NPPESDec 20, 2016

Details

NPI
1497290829
Entity type
Organization (NPI-2)
Legal business name
Southcoast Hair Options
Organization subpart
No
Enumeration date
Dec 20, 2016
Last updated
Dec 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224P00000X Prosthetist––Yes

Practice location

2082 Acushnet Ave.
New Bedford, MA 02745

Phone 508-995-7085

Mailing address

2082 Acushnet Ave
New Bedford, MA 02745

Phone 508-995-7085

Authorized official

Dennis Hammond
Owner/Operator
5089957085

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