Organization
THE LEGACY HAUS
Active
Other names
ProCare Haus, The Beauti Shack
Organization subpart
No
Provider details
NPI number
Authorized official
PRAYLAR R SHELLS SPECIALIST (PROFESSIONAL COSMOTOLOGY)
(662) 419-6369
Entity
Organization
Contact information
Practice address
3195 MCCULLOUGH BLVD, BELDEN, MS 38826-8311
(662) 350-0311
Mailing address
930 COUNTY ROAD 600, SHANNON, MS 38868-9239
(662) 419-6369
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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