Organization
HALCYON 91' LLC
Active
Other names
Halcyon 91'
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANTANECE HARMON CERTIFIED (CRANIAL PROSTHESIS SPECIALIST)
(667) 305-5312
Entity
Organization
Contact information
Practice address
7989 NOLPARK CT, GLEN BURNIE, MD 21061-5235
(667) 305-5312
Mailing address
PO BOX 2164, GLEN BURNIE, MD 21060-2164
(667) 305-5312
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
02/06/2025
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