Organization
HAIR REHAB
Active
Organization
HAIR REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA COLEMAN (HAIR LOSS SPECIALIST)
(662) 744-2675
Entity
Organization
Contact information
Practice address
313 HOLLAND ST, ANGUILLA, MS 38721-3872
(662) 744-2675
Mailing address
PO BOX 242, ANGUILLA, MS 38721-0242
(662) 744-2675
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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