Renew Salon & Day Spa LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

30604 Issued in SC

Legal business name

RENEW SALON & DAY SPA LLC

Practice address

2154 N Center St Ste 203B
N Charleston, SC 29406-4080

Phone

(843) 225-9697

NPI assigned

Jun 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Domecia Uvonne Brown

Title

Owner

Phone

(843) 225-9697

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1295961589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 N CENTER ST STE 203B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294064080",
            "telephone_number": "843-225-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 N CENTER ST STE 203B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294064080",
            "telephone_number": "843-225-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW SALON & DAY SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DOMECIA",
        "authorized_official_middle_name": "UVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-225-9697",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "SC",
            "license": "30604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in N Charleston, SC
• Contractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.