Provider Demographics
NPI:1801641444
Name:REBA'S HAIR DESIGNS
Entity type:Organization
Organization Name:REBA'S HAIR DESIGNS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBA
Authorized Official - Middle Name:SILER
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-379-7100
Mailing Address - Street 1:400 E WENDOVER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1106
Mailing Address - Country:US
Mailing Address - Phone:336-379-7100
Mailing Address - Fax:833-697-4571
Practice Address - Street 1:400 E WENDOVER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1106
Practice Address - Country:US
Practice Address - Phone:336-379-7100
Practice Address - Fax:833-697-4571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies