Provider Demographics
NPI:1982844437
Name:EL HAIJJ SALON ANDS SPA
Entity Type:Organization
Organization Name:EL HAIJJ SALON ANDS SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:HAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-522-7553
Mailing Address - Street 1:PO BOX 8098
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-0098
Mailing Address - Country:US
Mailing Address - Phone:304-522-7553
Mailing Address - Fax:
Practice Address - Street 1:1119 20TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25703-2021
Practice Address - Country:US
Practice Address - Phone:304-522-7553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty