Provider Demographics
NPI:1710577119
Name:PERFECTLY POLISHED DAY SPA AND SALON
Entity Type:Organization
Organization Name:PERFECTLY POLISHED DAY SPA AND SALON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-423-5225
Mailing Address - Street 1:309 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-4029
Mailing Address - Country:US
Mailing Address - Phone:337-423-5225
Mailing Address - Fax:
Practice Address - Street 1:309 N 5TH ST
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-4029
Practice Address - Country:US
Practice Address - Phone:337-423-5225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty