Organization
ELLA'S THERAPEUTIC BATHS & SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA E FRIDAY-SMITH (OWNER)
(704) 866-9943
Entity
Organization
Contact information
Practice address
707 S AVON ST, STE B, GASTONIA, NC 28054-0475
(704) 866-9943
(704) 866-9754
Mailing address
707 S AVON ST STE B, GASTONIA, NC 28054-0476
(704) 866-9943
(704) 866-9754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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