Organization
CROWNZ HEAVENLY PALACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAELAH GRANT (CEO/OWNER)
(410) 900-7909
Entity
Organization
Contact information
Practice address
712 H ST NE # 1509, WASHINGTON, DC 20002-3627
(771) 210-4720
(771) 210-4720
Mailing address
712 H ST NE # 1509, WASHINGTON, DC 20002-3627
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
10/13/2025
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