Healthcare Provider Details

I. General information

NPI: 1245146398
Provider Name (Legal Business Name): BEAUTY EVERYWEAR 365 INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 TUSKEGEE DR APT 124
OAK RIDGE TN
37830-7374
US

IV. Provider business mailing address

500 TUSKEGEE DR APT 124
OAK RIDGE TN
37830-7374
US

V. Phone/Fax

Practice location:
  • Phone: 865-630-2544
  • Fax:
Mailing address:
  • Phone: 865-630-2544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LATISA MONIQUE FLUDD
Title or Position: PRESIDENT
Credential:
Phone: 865-630-2544