Healthcare Provider Details

I. General information

NPI: 1760913164
Provider Name (Legal Business Name): HAUTE HEADZ SIGNATURE SALON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 04/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6077 TURNEY RD
GARFIELD HTS OH
44125-4519
US

IV. Provider business mailing address

6077 TURNEY RD.
GARFIELD HTS. OH
44125
US

V. Phone/Fax

Practice location:
  • Phone: 216-365-3383
  • Fax:
Mailing address:
  • Phone: 216-365-3383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. TIFFANY SWEENEY
Title or Position: OWNER
Credential: CERTIFIED HAIR LOSS
Phone: 216-365-3383