| NPI | 1336907443 |
|---|---|
| Doing Business As | THE GOOD WIFE HOUSE OF LINGERIE & MASTECTOMY BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA DAWN BURTON CEO, Owner 615-440-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-08-07 |