Monarch Hair Solutions & Salon, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

COSA050783 Issued in CO

Legal business name

MONARCH HAIR SOLUTIONS & SALON, LLC

Practice address

404 Northside Dr Ste G
Valdosta, GA 31602-1800

Phone

(229) 292-9336

NPI assigned

Sep 4, 2014

Organization subpart

Yes

Parent organization

MONARCH HAIR SOLUTIONS & SALON, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Angela D Roark, TRICOLOGIST

Title

Owner

Phone

(229) 292-9336

Specialties & licenses 1

Addresses

Part of

Monarch Hair Solutions Salon LLC

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1760883102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NORTHSIDE DR STE G",
            "address_2": "P.O. BOX 745",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021800",
            "telephone_number": "229-292-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NORTHSIDE DR STE G",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021800",
            "telephone_number": "229-292-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH HAIR SOLUTIONS & SALON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONARCH HAIR SOLUTIONS & SALON, LLC",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-292-9336",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "TRICOLOGIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CO",
            "license": "COSA050783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.