GRACE & BEAUTY HAIR RESTORATION AND TREATMENT CENTER LLC NPI 1629443387

NPI Information

NPI: 1629443387
Provider Name: GRACE & BEAUTY HAIR RESTORATION AND TREATMENT CENTER, LLC
Classification: Specialist - 1744P3200X
Entity Type: Organization

Specialization: Prosthetics Case Management

Address:
5891 ASH ST
SUITE B
FOREST PARK, GA
ZIP 30297
Phone: (404) 366-4429
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GRACE & BEAUTY HAIR RESTORATION AND TREATMENT CENTER, LLC is a prosthetics case management specialist in Forest Park, GA. GRACE & BEAUTY HAIR RESTORATION AND TREATMENT CENTER, LLC NPI is 1629443387. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5891 ASH ST
SUITE B
FOREST PARK, GA
ZIP 30297-016
Phone: (404) 366-4429

The provider's authorized official is Jeleva Carr .
The authorized official title is Owner/manager and has the following contact phone number (404) 366-4429.

The enumeration date for this NPI number is 12/7/2015 and was last updated on 12/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management	CO084847	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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