Provider Demographics
NPI:1932642386
Name:HAIR DESIGNS & RESTORATION CENTER LLC
Entity Type:Organization
Organization Name:HAIR DESIGNS & RESTORATION CENTER LLC
Other - Org Name:BEAUTY SALON
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:HURNS
Authorized Official - Suffix:
Authorized Official - Credentials:DEMPOS
Authorized Official - Phone:334-289-1942
Mailing Address - Street 1:24375 US HIGHWAY 80 W
Mailing Address - Street 2:P.O. BOX 392
Mailing Address - City:DEMOPOLIS
Mailing Address - State:AL
Mailing Address - Zip Code:36732-5018
Mailing Address - Country:US
Mailing Address - Phone:334-289-1942
Mailing Address - Fax:
Practice Address - Street 1:24375 US HIGHWAY 80 W
Practice Address - Street 2:
Practice Address - City:DEMOPOLIS
Practice Address - State:AL
Practice Address - Zip Code:36732-5018
Practice Address - Country:US
Practice Address - Phone:334-289-1942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28852332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies