# LADY GRACE STORES, INC.

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

## Provider details

- **NPI number:** 1821225004
- **Authorized official:** BRUCE I GREEN (TREASURER)
- **Authorized official phone:** (781) 322-1721

## Contact information

- **Practice address:** 98 BOSTON TURNPIKE RD, SHREWSBURY, MA 01545-3601
- **Practice address phone:** (508) 792-6585
- **Mailing address:** 98 BOSTON TURNPIKE RD, SHREWSBURY, MA 01545-3601
- **Mailing address phone:** (508) 792-6585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 06/16/2009