Organization
LS CREATIVE AGENCY LLC
Active
Other names
Love & Serenity
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BULLOCK (OWNER)
(202) 227-6264
Entity
Organization
Contact information
Practice address
1153 ROUTE 3 NORTH, SUITE 10, GAMBRILLS, MD 21054
(202) 227-6264
Mailing address
2610 SMOOTH ALDER ST N APT 362, GAMBRILLS, MD 21054-1372
(202) 227-6264
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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