Provider Demographics
NPI:1275681595
Name:LOVE WIGS, INC.
Entity Type:Organization
Organization Name:LOVE WIGS, INC.
Other - Org Name:LOOK OF LOVE INTERNATIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ANZIVINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-526-7627
Mailing Address - Street 1:555A N MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:KENILWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07033-1076
Mailing Address - Country:US
Mailing Address - Phone:800-526-7627
Mailing Address - Fax:908-687-9509
Practice Address - Street 1:555A N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1076
Practice Address - Country:US
Practice Address - Phone:800-526-7627
Practice Address - Fax:908-687-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site