Organization
HALCYON 91' LLC
Active
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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