Organization
MYBETHONY ENTERPRISES
Active
Parent organization
MYBETHONY ENTERPRISES
Other names
Alluring Footwear
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYBETHONY ENTERPRISES
Authorized official
MR. MERWYN WILLIAMS (OWNER)
(601) 896-3092
Entity
Organization
Contact information
Practice address
3027 AUTUMN PL S APT A, JACKSON, MS 39212-2419
(601) 896-3092
Mailing address
3027 AUTUMN PL S APT A, JACKSON, MS 39212-2419
(601) 896-3092
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/10/2018
Last updated
06/16/2018
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