Organization
REVAMPED BEAUTY
Active
Other names
Revamped Beauty Hair Loss Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY BASS-GRAY (FOUNDER)
(205) 478-7518
Entity
Organization
Contact information
Practice address
2714 ENSLEY 5 POINTS W AVE, BIRMINGHAM, AL 35218-2853
(205) 478-7518
Mailing address
1024 KERRY DR, CALERA, AL 35040-5512
(205) 478-7518
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
251V00000X
Voluntary or Charitable Agency
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/26/2016
Last updated
04/16/2020
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