Provider Demographics
NPI:1457002412
Name:HEIRESS BEAUTY LOUNGE, LLC
Entity Type:Organization
Organization Name:HEIRESS BEAUTY LOUNGE, LLC
Other - Org Name:HEIRESS MEDICAL RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-268-6579
Mailing Address - Street 1:711 E ASCENSION ST STE 1013
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-3028
Mailing Address - Country:US
Mailing Address - Phone:225-268-6579
Mailing Address - Fax:
Practice Address - Street 1:711 E ASCENSION ST STE 1013
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-3028
Practice Address - Country:US
Practice Address - Phone:225-268-6579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEIRESS BEAUTY LOUNGE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-12
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies