Provider Demographics
NPI:1811145071
Name:MONET SALON AND DAY SPA
Entity type:Organization
Organization Name:MONET SALON AND DAY SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAE
Authorized Official - Middle Name:MI
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-237-1107
Mailing Address - Street 1:326 E BLUE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-2181
Mailing Address - Country:US
Mailing Address - Phone:256-237-1107
Mailing Address - Fax:
Practice Address - Street 1:326 E BLUE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-2181
Practice Address - Country:US
Practice Address - Phone:256-237-1107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2403335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier