# TAILORED MADE HAIR REPLACEMENT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tailored Made Hair
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881224228
- **Authorized official:** BRANDI ANN HARRIS (HAIR SPECIALIST)
- **Authorized official phone:** (573) 818-8554

## Contact information

- **Practice address:** 201 W SWITZLER ST STE B, CENTRALIA, MO 65240-1594
- **Practice address phone:** (573) 818-8554
- **Mailing address:** 2521 LAORIS ST, COLUMBIA, MO 65202-2224
- **Mailing address phone:** (573) 818-8554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | — | NULL | — |
| 1744P3200X | Prosthetics Case Management | — | — | — |
| 224P00000X | Prosthetist | — | NULL | Yes |
| 224P00000X | Prosthetist | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2020
- **Last updated:** 01/24/2020