Provider Demographics
NPI:1356238109
Name:LABODIES BEAUTY
Entity type:Organization
Organization Name:LABODIES BEAUTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL-RAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-668-5295
Mailing Address - Street 1:104 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-2209
Mailing Address - Country:US
Mailing Address - Phone:215-668-5295
Mailing Address - Fax:
Practice Address - Street 1:104 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-2209
Practice Address - Country:US
Practice Address - Phone:215-668-5295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment