| NPI | 1619862273 |
|---|---|
| Former Legal Business Name | BELLA256 BOUTIQUE LLC |
| Entity Type | Organization |
| Authorized Contact | LISA S LYLES President 256-453-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |