Provider Demographics
NPI:1669234928
Name:MORALE OCAIN BEAUTY CORP
Entity type:Organization
Organization Name:MORALE OCAIN BEAUTY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MORALE
Authorized Official - Middle Name:
Authorized Official - Last Name:OCAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-551-7978
Mailing Address - Street 1:1110 PEPPER LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-7101
Mailing Address - Country:US
Mailing Address - Phone:404-551-7978
Mailing Address - Fax:
Practice Address - Street 1:3330 SATELLITE BLVD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5821
Practice Address - Country:US
Practice Address - Phone:404-551-7978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty