Organization
IN ALL YOUR GLORY CRANIAL PROSTHETIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHIA BAILUM (OWNER)
(937) 831-2490
Entity
Organization
Contact information
Practice address
2747 ATWOOD TER, COLUMBUS, OH 43211-1107
(937) 831-2490
(937) 831-2490
Mailing address
850 TWIN RIVERS DR UNIT 1930, COLUMBUS, OH 43216-8065
(937) 831-2490
(937) 831-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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