Organization
A FAMILY HEIRLOOM LLC
Active
Organization
A FAMILY HEIRLOOM LLC
Active
Other names
Favorable Illusions
Organization subpart
No
Provider details
NPI number
Authorized official
TA'NESHA AUSTIN-LEWIS (CRANIAL PROSTHESIS SPECIALIST)
(434) 607-1674
Entity
Organization
Contact information
Practice address
15911 N JAMES MADISON HWY, DILLWYN, VA 23936-3507
(434) 607-1674
Mailing address
6080 PREAKNESS STAKES LN, POWHATAN, VA 23139-7091
(434) 607-1674
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
01/25/2022
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