Organization
KELLYS ELITE BOUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FRANKO (MEMBER)
(877) 424-9655
Entity
Organization
Contact information
Practice address
1869 NILES CORTLAND RD., NE, WARREN, OH 44484
(877) 424-9655
(866) 423-1145
Mailing address
1869 NILES CORTLAND RD., NE, WARREN, OH 44484
(877) 424-9655
(866) 423-1145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/23/2011
Last updated
09/17/2012
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