NPI | 1144399114 |
---|---|
Doing Business As | M'LADY & PIXIE VILLAGE |
Entity Type | Organization |
Authorized Contact | MONICA J SCHULTE Owner 307-473-9644 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-08-22 |