Organization
THE GOOD WIFE LINGERIE LLC
Active
Other names
The Good Wife House of Lingerie & Mastectomy Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DAWN BURTON CMF (CEO, OWNER)
(615) 440-3264
Entity
Organization
Contact information
Practice address
107 E MAIN ST, GLASGOW, KY 42141-2835
(615) 440-3264
Mailing address
107 E MAIN ST, GLASGOW, KY 42141-2835
(615) 440-3264
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
08/07/2024
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