Hair Boutique Hub, LLC
Prosthetic/Orthotic Supplier in North Little Rock, AR. Organization (NPI-2).
NPI number1962397315
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1962397315
- Entity type
- Organization (NPI-2)
- Legal business name
- Hair Boutique Hub, LLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2025
- Certification date
- May 23, 2025
- Last updated
- Jun 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
4550 John F Kennedy Blvd Ste DNorth Little Rock, AR 72116-7364
Phone 501-580-5644
Mailing address
C/O 1601 North Shackleford Road Apt 312Little Rock, AR 72211
Authorized official
Nakiya Haney
Owner/Member
5015080498
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