Healthcare Provider Details

I. General information

NPI: 1598679748
Provider Name (Legal Business Name): TRANQUIL CURLS HEAD SPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 SUNSET BLVD
WEST COLUMBIA SC
29169-5955
US

IV. Provider business mailing address

635 ROSLINDALE CIR
BLYTHEWOOD SC
29016-9187
US

V. Phone/Fax

Practice location:
  • Phone: 803-882-9372
  • Fax:
Mailing address:
  • Phone: 803-882-9372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. DELVINA JEFFRIES
Title or Position: OWNER
Credential:
Phone: 703-884-5736