| NPI | 1417638891 |
|---|---|
| Doing Business As | TAYLOR MADE BEAUTY SUPPLY LLC |
| Entity Type | Organization |
| Authorized Contact | LATOSHA PERKINS Vice President 501-681-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |