Organization
JFM SAL LLC
Active
Other names
Silhouette Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANN LEPPER (OWNER)
(217) 242-6341
Entity
Organization
Contact information
Practice address
117 N 6TH ST, QUINCY, IL 62301-2903
(217) 223-8791
(217) 223-8791
Mailing address
117 N 6TH ST, QUINCY, IL 62301-2903
(217) 223-8791
(217) 223-8791
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/17/2023
Last updated
09/10/2024
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