Provider Demographics
NPI:1033899232
Name:ADVANCED HAIR SOLUTIONS OF BLOOMFIELD HILLS
Entity type:Organization
Organization Name:ADVANCED HAIR SOLUTIONS OF BLOOMFIELD HILLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAMIRIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HUDDLESTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-242-4756
Mailing Address - Street 1:33332 TWELVE MILE RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334
Mailing Address - Country:US
Mailing Address - Phone:877-242-4756
Mailing Address - Fax:
Practice Address - Street 1:33332 TWELVE MILE RD
Practice Address - Street 2:SUITE 305
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:877-242-4756
Practice Address - Fax:877-940-2756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier