Provider Demographics
NPI:1275002842
Name:HAUTE HAIR WIGS AND EXTENSIONS LLC
Entity Type:Organization
Organization Name:HAUTE HAIR WIGS AND EXTENSIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIA
Authorized Official - Middle Name:COLLEEN
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-957-1331
Mailing Address - Street 1:820 H ST NE STE A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3662
Mailing Address - Country:US
Mailing Address - Phone:202-543-1090
Mailing Address - Fax:888-395-0772
Practice Address - Street 1:820 H ST NE STE A
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3662
Practice Address - Country:US
Practice Address - Phone:202-543-1090
Practice Address - Fax:888-395-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier