# BEAUTICIANS ON THE GO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972015105
- **Authorized official:** CARLA R OLIVARES COSMETOLOGIST (CEO)
- **Authorized official phone:** (602) 803-2827

## Contact information

- **Practice address:** 2390 E CAMELBACK RD STE 130, PHOENIX, AZ 85016-3449
- **Practice address phone:** (602) 803-2827
- **Practice address fax:** (602) 218-4498
- **Mailing address:** PO BOX 74322, NEW RIVER, AZ 85087-1006
- **Mailing address phone:** (602) 803-2728
- **Mailing address fax:** (602) 218-4498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 10223435 | AZ | Yes |
| 253Z00000X | In Home Supportive Care Agency | 10223435 | AZ | — |
| 305S00000X | Point of Service | 10223435 | AZ | — |

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 04/18/2018