Organization
LIVING HEALTHY SOLUTIONS, LLC C/O SEVA
Active
Other names
National Hair Loss Centers
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI BOURGEOIS (VP, ACCOUNT MANAGEMENT)
(404) 919-2088
Entity
Organization
Contact information
Practice address
970 MANSELL RD, SUITE 100, ROSWELL, GA 30076-1506
(404) 919-2088
(708) 294-1284
Mailing address
2870 PEACHTREE RD NW, #315, ATLANTA, GA 30305-2918
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1744P3200X
GA
Other
Enumeration date
10/26/2014
Last updated
10/26/2014
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