Provider Demographics
NPI:1619144763
Name:A NATURAL LOOK INC
Entity Type:Organization
Organization Name:A NATURAL LOOK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY OF A NATURAL LOOK INC
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:HAIRSTON
Authorized Official - Suffix:
Authorized Official - Credentials:CORPORATION
Authorized Official - Phone:704-597-1564
Mailing Address - Street 1:2713 YARROW ROAD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-9258
Mailing Address - Country:US
Mailing Address - Phone:704-597-1564
Mailing Address - Fax:704-597-1564
Practice Address - Street 1:1720 E 7TH STREET
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2464
Practice Address - Country:US
Practice Address - Phone:704-377-0383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment