Provider Demographics
NPI:1710507751
Name:NATURAL HAIR AFFAIR LLC
Entity Type:Organization
Organization Name:NATURAL HAIR AFFAIR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-229-0420
Mailing Address - Street 1:12108 BERMUDA CROSSROAD LN STE 21
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-2452
Mailing Address - Country:US
Mailing Address - Phone:804-229-0420
Mailing Address - Fax:
Practice Address - Street 1:12108 BERMUDA CROSSROAD LN STE 21
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-2452
Practice Address - Country:US
Practice Address - Phone:804-229-0420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty