Organization
JACKIE'S ENTERPRISES INC
Active
Other names
Her Underthings
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JACKLYN LEIGH KETO (PRESIDENT/OWNER)
(518) 869-1100
Entity
Organization
Contact information
Practice address
2080 WESTERN AVE, GUILDERLAND, NY 12084-9517
(518) 869-1100
(518) 869-1105
Mailing address
2080 WESTERN AVE, GUILDERLAND, NY 12084-9517
(518) 869-1100
(518) 869-1105
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/19/2015
Last updated
01/20/2021
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