Provider Demographics
NPI:1760913164
Name:HAUTE HEADZ SIGNATURE SALON
Entity Type:Organization
Organization Name:HAUTE HEADZ SIGNATURE SALON
Other - Org Name:HAUTE HEADZ SIGNATURE SALON AND HAIR REPLACEMENT CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED HAIR LOSS
Authorized Official - Phone:216-365-3383
Mailing Address - Street 1:6077 TURNEY RD.
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS.
Mailing Address - State:OH
Mailing Address - Zip Code:44125
Mailing Address - Country:US
Mailing Address - Phone:216-365-3383
Mailing Address - Fax:
Practice Address - Street 1:6077 TURNEY RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-4519
Practice Address - Country:US
Practice Address - Phone:216-365-3383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier