Provider Demographics
NPI:1063174977
Name:GROWINGHAIRCARE
Entity type:Organization
Organization Name:GROWINGHAIRCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROSTHESIS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SATERRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFFOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-868-8091
Mailing Address - Street 1:9535 LAZY LN APT 201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9535 LAZY LN APT 201
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1614
Practice Address - Country:US
Practice Address - Phone:386-868-8091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty