| NPI | 1255589289 |
|---|---|
| Doing Business As | WOMENS CENTER BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | OLEY JOSEPH BURGESS Chief Executive Officer 606-325-9222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: KY 156463) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-06-16 |