# PRETTY LACE COLLECTION, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184381691
- **Authorized official:** AMANDA HENDERSON (OWNER)
- **Authorized official phone:** (352) 219-1661

## Contact information

- **Practice address:** 901 NW 8TH AVE STE B5-1, GAINESVILLE, FL 32601-5011
- **Practice address phone:** (352) 745-8404
- **Mailing address:** 901 NW 8TH AVE STE B5-1, GAINESVILLE, FL 32601-5011
- **Mailing address phone:** (352) 745-8404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | — | NULL | Yes |
| 1744P3200X | Prosthetics Case Management | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2021
- **Last updated:** 12/07/2022