Organization
DOLL LIFE HAIR COLLECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREEN FRITH (CEO)
(701) 335-6985
Entity
Organization
Contact information
Practice address
7260 BUCK CREEK DR, FAIRBURN, GA 30213-3116
(404) 780-6039
Mailing address
7260 BUCK CREEK DR, FAIRBURN, GA 30213-3116
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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