| NPI | 1326710104 |
|---|---|
| Former Legal Business Name | SKYLINE HAIR SALON LLC |
| Entity Type | Organization |
| Authorized Contact | TRACEY R SILVER Owner 919-752-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |