Provider Demographics
NPI:1891457107
Name:TRUE HEALTH AND BEAUTY
Entity Type:Organization
Organization Name:TRUE HEALTH AND BEAUTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNY
Authorized Official - Middle Name:JOHANNA
Authorized Official - Last Name:MANTILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:301-732-3304
Mailing Address - Street 1:198 THOMAS JOHNSON DR STE 8
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4442
Mailing Address - Country:US
Mailing Address - Phone:301-732-3304
Mailing Address - Fax:
Practice Address - Street 1:198 THOMAS JOHNSON DR STE 8
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4442
Practice Address - Country:US
Practice Address - Phone:301-732-3304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty