Organization
EVENING ELEGANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM SAID (OWNER)
(303) 390-1862
Entity
Organization
Contact information
Practice address
14500 W COLFAX AVE UNIT 246, LAKEWOOD, CO 80401
(303) 390-1862
Mailing address
14500 W COLFAX AVE UNIT 246, LAKEWOOD, CO 80401-3227
(303) 390-1862
(303) 390-1862
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/22/2019
Last updated
12/06/2019
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