Organization
FOR EVERY WOMAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BOLT (OWNER)
(864) 430-6673
Entity
Organization
Contact information
Practice address
90 ORCHARD PARK DR, GREENVILLE, SC 29615-3567
(864) 430-6673
(864) 235-0523
Mailing address
90 ORCHARD PARK DR, GREENVILLE, SC 29615-3567
(864) 663-8049
(864) 234-1337
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
06/06/2013
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