Organization
INTERCHANGEABLE CROWNS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELEEAH HARRIS (MEMBER/ORGANIZER)
(716) 319-4842
Entity
Organization
Contact information
Practice address
12425 HIGH VALLEY LN, CHARLOTTE, NC 28269-8723
(716) 319-4842
Mailing address
12425 HIGH VALLEY LN, CHARLOTTE, NC 28269-8723
(716) 319-4842
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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