FOREVER DIAZ SALON & SPA, LLC; NPI #1063117810

Contact Information

FOREVER DIAZ SALON & SPA, LLC

8237 PHILADELPHIA RD
ROSEDALE, MD 21237-2865

Phone: 410-497-0782
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist
Customized Equipment	332BC3200X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for FOREVER DIAZ SALON & SPA, LLC

NPI #	`1063117810`
LBN Legal business name	FOREVER DIAZ SALON & SPA, LLC
Authorized official	CANDACE DIAZ - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/03/2023
Last updated	04/03/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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