Organization
MY MOMMY STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY CAROL AKERS CNM, PHD (OWNER)
(270) 769-6693
Entity
Organization
Contact information
Practice address
1704 N DIXIE HWY, SUITE E-7, ELIZABETHTOWN, KY 42701-9449
(270) 769-6693
(270) 769-6693
Mailing address
1704 N DIXIE HWY, SUITE E-7, ELIZABETHTOWN, KY 42701-9449
(270) 769-6693
(270) 769-6693
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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