Provider Demographics
NPI:1942898374
Name:FULL OF JOY HAIR LLC
Entity Type:Organization
Organization Name:FULL OF JOY HAIR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:FEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-303-3727
Mailing Address - Street 1:5949 CAMP RD # 1060
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-4425
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:716-303-3727
Practice Address - Street 1:5949 CAMP RD # 1060
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-4425
Practice Address - Country:US
Practice Address - Phone:302-513-2070
Practice Address - Fax:716-303-3727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier