Organization
LADIES HEALTH BOUTIQUE,INC
Active
Other names
FOR LADIES ONLY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL MORGAN (PRESIDENT)
(205) 979-4377
Entity
Organization
Contact information
Practice address
650 OLDE TOWNE RD, VESTAVIA, AL 35216-3758
(205) 979-4377
(205) 822-5341
Mailing address
650 OLDE TOWNE ROAD, VESTAVIA, AL 35216
(205) 979-4377
(205) 822-5341
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3700 54926
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009981090
—
AL
Enumeration date
03/15/2007
Last updated
06/18/2008
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