NPI 1184270894

Indigo Hair Innovations LLC

Organisation Prosthetics Case Management West Hartford, CT

Practice location

Address: 641 New Park Ave, West Hartford, CT 06110-1318
Phone: (860) 990-1565

Authorised official

Name: Tasheba Suzannie Taylor
Title: Owner
Phone: (631) 433-7506

Registered specialties

Prosthetics Case Management Primary

Other Service Providers Taxonomy 1744P3200X

Other Specialist providers in Connecticut →

Registry record

NPI: 1184270894
Entity type: Organization
NPI issued: 18 Aug 2019
Record last updated: 18 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.