Organization
CROWNEDTWO LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRALETTE C FLYNN (OWNER)
(404) 747-3554
Entity
Organization
Contact information
Practice address
2200 PIKES PEAK BLVD APT 3, LOUISVILLE, KY 40214-1168
(770) 681-3887
Mailing address
2200 PIKES PEAK BLVD APT 3, LOUISVILLE, KY 40214-1168
(404) 747-3554
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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