Organization
VANITY ALLURE X YLH BEAUTIQUE SALON SUITES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSHIE BROWN (CO-OWNER)
(910) 619-1692
Entity
Organization
Contact information
Practice address
405 BLANDWOOD AVE, GREENSBORO, NC 27401-2705
(910) 619-1692
Mailing address
405 BLANDWOOD AVE, GREENSBORO, NC 27401-2705
(910) 619-1692
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
---------
—
NC
Enumeration date
09/13/2020
Last updated
12/21/2020
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