Organization
LADY GRACE STORES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MAZUR (CEO)
(614) 901-2109
Entity
Organization
Contact information
Practice address
50 CONCORD ST # 100, WILMINGTON, MA 01887-2196
(800) 892-4044
Mailing address
375 N WEST ST, WESTERVILLE, OH 43082-1400
(614) 901-2226
(614) 901-2868
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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