Provider Demographics
NPI:1639951411
Name:ALTERNATIVE HAIR CENTER
Entity Type:Organization
Organization Name:ALTERNATIVE HAIR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HENCKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-625-6560
Mailing Address - Street 1:2245 S. ORTONVILLE RD.
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48462
Mailing Address - Country:US
Mailing Address - Phone:248-625-6560
Mailing Address - Fax:
Practice Address - Street 1:2245 S. ORTONVILLE RD
Practice Address - Street 2:
Practice Address - City:ORTONVILLE
Practice Address - State:MI
Practice Address - Zip Code:48462
Practice Address - Country:US
Practice Address - Phone:248-625-6560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment