# DE'BORAH VIRTUOUS HANDS HAIR CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** De'Borah Virtuous Hands Hair Clinic LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134874241
- **Authorized official:** DIANE M HOOKS (HAIR STYLIST)
- **Authorized official phone:** (919) 914-4197

## Contact information

- **Practice address:** 11909 E DR MARTIN LUTHER KING JR BLVD, SEFFNER, FL 33584-4934
- **Practice address phone:** (919) 914-4197
- **Mailing address:** 10390 SCARLETT SKIMMER DR, RIVERVIEW, FL 33578-6277
- **Mailing address phone:** (919) 914-4197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | — | NULL | Yes |
| 1744P3200X | Prosthetics Case Management | — | — | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 02/16/2022
- **Last updated:** 02/16/2022