Beauty Boutique Hair Salon
Beauty Boutique Hair Salon is a Driver in Philadelphia, Pennsylvania. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 7
Practice location Address checks out
29 S 60th StPhiladelphia, PA 19139-3004
Phone: (215) 921-2410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|---|
| Driver | Taxonomy 172A00000X |
| Exclusive Provider Organization | Taxonomy 302F00000X |
| Preferred Provider Organization | Taxonomy 305R00000X |
| Point of Service | Taxonomy 305S00000X |
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X |
| Private Vehicle | Taxonomy 347C00000X |
Record details
| NPI number | 1861100638 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nydisha Boyd — Owner · (267) 253-7053 |
| NPI enumerated | November 10, 2022 |
| Last updated in NPPES | August 17, 2023 |
| Certification date | August 17, 2023 |
| Mailing address | 29 S 60th St, Philadelphia, PA 19139-3004 |
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