| NPI | 1407736820 |
|---|---|
| Doing Business As | THE BEAUTI SHACK |
| Doing Business As | PROCARE HAUS |
| Entity Type | Organization |
| Authorized Contact | PRAYLAR R SHELLS Professional Cosmotology 662-419-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |