| NPI | 1629880208 |
|---|---|
| Doing Business As | HALCYON 91' |
| Entity Type | Organization |
| Authorized Contact | SHANTANECE HARMON Cranial Prosthesis Specialist 667-305-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-02-06 |