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 |