Provider Demographics
NPI:1013462316
Name:DANORI INC.
Entity Type:Organization
Organization Name:DANORI INC.
Other - Org Name:CUSTOM HAIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-932-5327
Mailing Address - Street 1:1425 W BUSCH BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7601
Mailing Address - Country:US
Mailing Address - Phone:813-932-5327
Mailing Address - Fax:
Practice Address - Street 1:1425 W BUSCH BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7601
Practice Address - Country:US
Practice Address - Phone:813-932-5327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier