Provider Demographics
NPI:1386419281
Name:PHAZYLE BEAUTY PARLOR BY PAISLEY
Entity type:Organization
Organization Name:PHAZYLE BEAUTY PARLOR BY PAISLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAISLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-588-2768
Mailing Address - Street 1:7510 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-8946
Mailing Address - Country:US
Mailing Address - Phone:225-588-2768
Mailing Address - Fax:
Practice Address - Street 1:2320 FLORIDA BLVD SW
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-4901
Practice Address - Country:US
Practice Address - Phone:225-588-2768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier