Provider Demographics
NPI:1801488374
Name:YOU'RE BEAUTIFUL REGARDLESS LLC
Entity type:Organization
Organization Name:YOU'RE BEAUTIFUL REGARDLESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAMIAH
Authorized Official - Middle Name:T
Authorized Official - Last Name:TURMON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:518-577-9768
Mailing Address - Street 1:24 MARVIN AVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-6426
Mailing Address - Country:US
Mailing Address - Phone:518-577-9768
Mailing Address - Fax:
Practice Address - Street 1:24 MARVIN AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-6426
Practice Address - Country:US
Practice Address - Phone:518-577-9768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-06
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty