Provider Demographics
NPI:1841485570
Name:EUPHORIA SALON & DAYSPA, INC.
Entity type:Organization
Organization Name:EUPHORIA SALON & DAYSPA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-273-1900
Mailing Address - Street 1:2645 ONEAL LN BLDG D
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-3187
Mailing Address - Country:US
Mailing Address - Phone:225-273-1900
Mailing Address - Fax:225-273-5555
Practice Address - Street 1:4905 E MAIN ST
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-9489
Practice Address - Country:US
Practice Address - Phone:317-718-0800
Practice Address - Fax:317-718-8398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200953960AMedicaid