Organization
SURVIVOR FRIENDLY LLC
Active
Parent organization
SURVIVOR FRIENDLY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURVIVOR FRIENDLY LLC
Authorized official
JACQUELINE CROMITY (OWNER)
(919) 474-9336
Entity
Organization
Contact information
Practice address
20 DUKE MEDICINE CIRCLE, SELF IMAGE BOUTIQUE PROSTHETICS RM 0N14, DURHAM, NC 27710-0001
(919) 747-9336
Mailing address
20 DUKE MEDICINE CIRCLE, SELF IMAGE BOUTIQUE PROSTHETICS RM 0N14, DURHAM, NC 27710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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