The Hair Kingdom INC
Point of Service in Roxbury, MA. Organization (NPI-2).
NPI number1891022018
StatusActive
Last updated in NPPESNov 26, 2012
Details
- NPI
- 1891022018
- Entity type
- Organization (NPI-2)
- Legal business name
- The Hair Kingdom INC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2009
- Last updated
- Nov 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | 1106052 | MA | Yes |
Other names
- The Hair Kingdom INC (Former Legal Business Name)
Practice location
51 Humboldt AveRoxbury, MA 02119-1643
Phone 617-427-5911 · Fax 617-427-7762
Mailing address
51 Humboldt AveRoxbury, MA 02119-1643
Phone 617-427-5911 · Fax 617-427-7762
Authorized official
Mamie Emma Dorsey Oneal
Owner
6174275911
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