Provider Demographics
NPI:1790307767
Name:JYMESHA YAPELLE BEAUTY, LLC
Entity Type:Organization
Organization Name:JYMESHA YAPELLE BEAUTY, LLC
Other - Org Name:JYMESHA YAPELLE BEAUTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JYMESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-978-2728
Mailing Address - Street 1:2636 N SALISBURY BLVD # 1032
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-2141
Mailing Address - Country:US
Mailing Address - Phone:443-978-2728
Mailing Address - Fax:
Practice Address - Street 1:111 BAPTIST ST STE 109
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-4932
Practice Address - Country:US
Practice Address - Phone:443-978-2728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier