Organization
BEAUTY PERSONIFIED LLC
Active
Organization
BEAUTY PERSONIFIED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINTINA LOVE (OWNER)
(502) 608-4183
Entity
Organization
Contact information
Practice address
4610 TAYLORSVILLE RD STE 225, LOUISVILLE, KY 40220-3568
(502) 608-4183
Mailing address
4723 S 2ND ST, LOUISVILLE, KY 40214-2129
(502) 608-4183
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
601965
KY
Other
Enumeration date
08/22/2013
Last updated
03/04/2023
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