| NPI | 1639834831 |
|---|---|
| Doing Business As | FOUNDER/CO-FOUNDER |
| Doing Business As | SUGAR ME LACE & MINK BAR |
| Entity Type | Organization |
| Authorized Contact | TRACEY R MORGAN Owner 251-490-7937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2022-05-20 |