Organization · Type 2 NPI

Beauty Boutique Hair Salon

Customized Equipment (DME) · Philadelphia, PA

NPI number 1861100638 Active

Practice location

29 S 60th St
Philadelphia, PA 19139-3004

Call (215) 921-2410 Map

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XNone listed
Exclusive Provider Organization 302F00000XNone listed
Preferred Provider Organization 305R00000XNone listed
Point of Service 305S00000XNone listed
Customized Equipment (DME) Primary 332BC3200XNone listed
Prosthetic/Orthotic Supplier 335E00000XNone listed
Private Vehicle 347C00000XNone listed

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About NPI 1861100638

Beauty Boutique Hair Salon's National Provider Identifier is 1861100638, issued on Nov 10, 2022. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 17, 2023.