Healthcare Provider Details

I. General information

NPI: 1164000568
Provider Name (Legal Business Name): SYNCERELY BEAUTIFUL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 08/20/2023
Certification Date: 08/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 EDEN WAY N, SUITE 604 STUDIO 22
CHESAPEAKE VA
23320-4791
US

IV. Provider business mailing address

829 QUEENS WAY
VIRGINIA BEACH VA
23454-3430
US

V. Phone/Fax

Practice location:
  • Phone: 757-219-2190
  • Fax:
Mailing address:
  • Phone: 757-692-0231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELINE BOYD
Title or Position: OWNER
Credential:
Phone: 757-692-0231