| NPI | 1326746348 |
|---|---|
| Former Legal Business Name | REVIVING CROWNS SOLUTIONS LLC |
| Entity Type | Organization |
| Authorized Contact | MARQUISHA SHANKEIA GENERAL Owner 770-580-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1744P3200X Specialist Prosthetics Case Management |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-03-13 |