Healthcare Provider Details

I. General information

NPI: 1982533139
Provider Name (Legal Business Name): STYLE 2 GO ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 HARBOUR POINTE XING STE 507
RIDGELAND MS
39157-1152
US

IV. Provider business mailing address

356 QUEEN CATHERINE LN
JACKSON MS
39209-2903
US

V. Phone/Fax

Practice location:
  • Phone: 769-798-5372
  • Fax:
Mailing address:
  • Phone: 769-798-5372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHIRVONA FRANK
Title or Position: MANAGER
Credential: STATE BOARD OF COSME
Phone: 769-798-5372