Organization
ABSOLUTELY AMAZING SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA CHURCHILL (MANAGER/OWNER)
(205) 502-7412
Entity
Organization
Contact information
Practice address
2227 ARLINGTON AVENUE, BIRMINGHAM, AL 35205
(205) 502-7412
Mailing address
721 AVENUE H, BIRMINGHAM, AL 35214-6151
(310) 413-2385
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
134791
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134791
COSMETOLOGY
AL
01
—
569026876
COSMETOLOGY
AL
Enumeration date
02/16/2015
Last updated
02/16/2015
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