Organization
J ALAMOURA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY JADE BAILEY CER. HAIR LOSS SPEC. (MEMBER)
(440) 703-1048
Entity
Organization
Contact information
Practice address
7537 MENTOR AVE STE 207B, MENTOR, OH 44060-5464
(260) 639-4247
Mailing address
260TH E 312TH, UNIT 5223, WILLOWICK, OH 44095
(260) 639-4247
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101915
OHIO STATE BOARD LICENSE
OH
Enumeration date
05/26/2023
Last updated
11/10/2024
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