Organization
GRACE CUSTOM HAIR, LLC
Active
Other names
Grace Custom Hair Falls & Extensions, LLC, Grace Custom Hair Falls & Extensiond
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTE MARIE LANGFORD (OWNER)
(205) 243-5793
Entity
Organization
Contact information
Practice address
1962 VETERANS MEMORIAL DR STE A, BIRMINGHAM, AL 35214-2048
(205) 834-8240
Mailing address
1962 VETERANS MEMORIAL DR STE A, BIRMINGHAM, AL 35214-2048
(205) 834-8240
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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