Organization
CROWN COUTURE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADREAKA S. WHITE (CEO)
(830) 357-0759
Entity
Organization
Contact information
Practice address
411 ARDEN PL, ELLENWOOD, GA 30294-1618
(830) 357-0759
Mailing address
101 FAIRVIEW RD STE 103-211, ELLENWOOD, GA 30294-2722
(830) 357-0759
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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