Organization
REVIVE HAIR & NAIL SOLUTIONS LLC
Active
Other names
Lisas Creative Hair Replacement Studio, Revive Hair & Nail Solutions, Revive Hair & Nail Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CORNELIA ALLEN (OWNER)
(234) 804-1515
Entity
Organization
Contact information
Practice address
2219 34TH ST NW, CANTON, OH 44709-2736
(123) 480-4151
Mailing address
2219 34TH ST NW, CANTON, OH 44709-2736
(234) 804-1515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744P3200X
PROSTHETICS CASE MANAGER
OH
01
—
19320000X
MULTI SPECIALTY GROUP
OH
01
—
332B00000X
MEDICAL EQUIPMENT AND MEDICAL SUPPLIES
OH
01
—
335E00000X
ORTHOTIC SUPPLIER
OH
Enumeration date
10/20/2023
Last updated
10/20/2023
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