Healthcare Provider Details

I. General information

NPI: 1760292205
Provider Name (Legal Business Name): LEXX SLAYS2 BEAUTY SALON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 01/08/2025
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 MAYFIELD RD STE 5
SOUTH EUCLID OH
44121-3030
US

IV. Provider business mailing address

4040 MAYFIELD RD STE 5
SOUTH EUCLID OH
44121-3030
US

V. Phone/Fax

Practice location:
  • Phone: 440-431-6716
  • Fax:
Mailing address:
  • Phone: 440-431-6716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALLEXIS MURPHY MUNTASER
Title or Position: COSMETOLOGIST/MANAGER
Credential: DSP
Phone: 440-431-6716