Organization
BEAUTIFUL LADY INC
Active
Other names
Mildreds
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE MARY PASSERO (PRESIDENT)
(973) 994-0291
Entity
Organization
Contact information
Practice address
155 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3030
(973) 994-0291
Mailing address
155 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3030
(973) 994-0291
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
01/28/2008
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