MEDICARE: AESTHETICS CONSULTING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1285371203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AESTHETICS CONSULTING INC

Provider Business Mailing Address
First Line	:	31 CHORDGRASS WAY
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-4858
Country	:	US
Telephone Number	:	470-513-4305
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 CHORDGRASS WAY
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-4858
Country	:	US
Telephone Number	:	470-513-4305
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SETH GLENN
Credential	:
Telephone Number	:	470-513-4305

Provider Enumeration Date	:	05/19/2022
Last Update Date	:	05/19/2022

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