Provider Demographics
NPI:1093227860
Name:TANGIBLE BEAUTY ENTERPRISES LLC
Entity type:Organization
Organization Name:TANGIBLE BEAUTY ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:856-354-8000
Mailing Address - Street 1:200 HADDONFIELD BERLIN RD STE 3
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1400
Mailing Address - Country:US
Mailing Address - Phone:856-354-8000
Mailing Address - Fax:856-354-8001
Practice Address - Street 1:200 HADDONFIELD BERLIN RD STE 3
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1400
Practice Address - Country:US
Practice Address - Phone:856-354-8000
Practice Address - Fax:856-354-8001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TANGIBLE BEAUTY ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ32WG049843001744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty