Healthcare Provider Details

I. General information

NPI: 1790612455
Provider Name (Legal Business Name): DRIA RIOS SALON AND BARBER LOFT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25831 FORESTVIEW AVE
EUCLID OH
44132-1017
US

IV. Provider business mailing address

25831 FORESTVIEW AVE
EUCLID OH
44132-1017
US

V. Phone/Fax

Practice location:
  • Phone: 800-953-0070
  • Fax:
Mailing address:
  • Phone: 440-953-0070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE JOHNSON
Title or Position: OWNER
Credential:
Phone: 800-953-0070