Provider Demographics
NPI:1003565961
Name:JOLYNN HAIR DESIGNZ, LLC.
Entity Type:Organization
Organization Name:JOLYNN HAIR DESIGNZ, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-739-1807
Mailing Address - Street 1:1806 E ALTA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-4550
Mailing Address - Country:US
Mailing Address - Phone:832-739-1807
Mailing Address - Fax:
Practice Address - Street 1:1204 E BASELINE RD STE 106
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1447
Practice Address - Country:US
Practice Address - Phone:480-992-0932
Practice Address - Fax:480-992-0933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-19
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies