Provider Demographics
NPI:1194489773
Name:LUV LIV HAIR INC
Entity type:Organization
Organization Name:LUV LIV HAIR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-364-8151
Mailing Address - Street 1:3035 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2661
Mailing Address - Country:US
Mailing Address - Phone:716-361-9393
Mailing Address - Fax:716-381-9717
Practice Address - Street 1:3035 GENESEE ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-2661
Practice Address - Country:US
Practice Address - Phone:716-361-9393
Practice Address - Fax:716-381-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier