Organization
SUPERIOR IMAGE HAIR STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN JOYNER (OWNER)
(610) 200-4952
Entity
Organization
Contact information
Practice address
240 PUSEY AVE, COLLINGDALE, PA 19023-1909
(610) 710-6665
Mailing address
716 MACDADE BLVD, COLLINGDALE, PA 19023-3825
(610) 200-4952
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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