NPI | 1043094899 |
---|---|
Former Legal Business Name | HAIR REPLICA |
Entity Type | Organization |
Authorized Contact | CELESTINE D LEE Owner 803-549-2553 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2023-08-22 |
Last Update Date | 2023-08-22 |