Provider Demographics
NPI:1932874740
Name:BEAUTYY OF TRESSES
Entity Type:Organization
Organization Name:BEAUTYY OF TRESSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRANIAL PROTHESIS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHIKEYA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-804-0735
Mailing Address - Street 1:2000 LEE RD UNIT 271
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2572
Mailing Address - Country:US
Mailing Address - Phone:440-709-8300
Mailing Address - Fax:937-403-9212
Practice Address - Street 1:945 E 149TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-3707
Practice Address - Country:US
Practice Address - Phone:440-709-8300
Practice Address - Fax:937-403-9212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier