Organization
CORSET SHOP INTIMATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA KAY HANCOCK CFM (OWNER)
(989) 799-3889
Entity
Organization
Contact information
Practice address
5801 STATE ST, SAGINAW, MI 48603-3420
(989) 799-3889
(989) 799-0798
Mailing address
5801 STATE ST, SAGINAW, MI 48603-3420
(989) 799-3889
(989) 799-0798
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MC 668-510
MI
Other
Enumeration date
04/07/2008
Last updated
04/02/2015
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