| NPI | 1811513765 |
|---|---|
| Doing Business As | BEAUTIFUL GRACE UNIQUE CREATIONS |
| Entity Type | Organization |
| Authorized Contact | SHANTEAU SYLVESTER Cranial Prosthesis Specialist 318-239-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |